Individual
GABRIELA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MITTIE HADDOCK DR, CAMERON, NC 28326-9379
(800) 991-6070
Mailing address
110 TUNNER ST, FORT BRAGG, NC 28307-1572
(541) 951-3651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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