Individual
MS. LISABETH GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2789 MILBURN AVE STE 1, BALDWIN, NY 11510-4119
(516) 662-4739
Mailing address
2789 MILBURN AVE STE 1, BALDWIN, NY 11510-4119
(516) 662-4739
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018544-01
NY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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