Individual
MRS. ANGELINE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1424 GRANADA CIRCLE, EDINBURG, TX 78542
(956) 457-5254
Mailing address
1424 GRANADA CIRCLE, EDINBURG, TX 78542
(956) 457-5254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T3027
BCBS
TX
Enumeration date
04/25/2007
Last updated
10/21/2024
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