Individual
TANYA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 W RIGGIN RD, MUNCIE, IN 47304-1019
(317) 445-0336
Mailing address
2608 W RIGGIN RD, MUNCIE, IN 47304-1019
(131) 744-5033
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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