Individual
ANDREA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11200 N 83RD AVE, PEORIA, AZ 85345-5945
(623) 486-6310
Mailing address
20153 W SHERMAN ST, BUCKEYE, AZ 85326-8168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-001431
AZ
Other
Enumeration date
06/14/2019
Last updated
01/08/2020
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