Individual
KATIUSKA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9509 BAYTREE CT, TAMPA, FL 33615-1976
(813) 577-0547
(813) 243-1388
Mailing address
9509 BAYTREE CT, TAMPA, FL 33615-1976
(813) 507-3647
(813) 243-1388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
235577
FL
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104110300
—
FL
Enumeration date
09/13/2018
Last updated
07/23/2020
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