Individual
SANDRA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
125 PATERSON AVE, SUITE 2, LITTLE FALLS, NJ 07424-1691
(973) 837-6555
(973) 812-6237
Mailing address
125 PATERSON AVE, SUITE 2, LITTLE FALLS, NJ 07424-1691
(973) 837-6555
(973) 812-6237
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
18KT00214900
NJ
Other
Enumeration date
02/22/2014
Last updated
02/22/2014
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