Individual
KELLY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
9300 NW 77TH AVE, HIALEAH GARDENS, FL 33016-2504
(305) 819-2313
(305) 819-3546
Mailing address
9300 NW 77TH AVE, HIALEAH GARDENS, FL 33016-2504
(305) 819-2313
(305) 819-3546
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7774
FL
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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