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Individual

MRS. MIRANDA GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-PC

Contact information

Practice address
5325 S MCCOLL RD, EDINBURG, TX 78539-9168
(956) 331-2244
Mailing address
1700 OZARK AVE, MCALLEN, TX 78504-0588
(956) 530-4092

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1019857
TX

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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