Individual
MS. CAROL E GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1141 N AMBER ST, CHANDLER, AZ 85225-1691
(808) 721-3605
Mailing address
1141 N AMBER ST, CHANDLER, AZ 85225-1691
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
RN-62461
HI
363L00000X
Nurse Practitioner
Primary
APRN-1080
HI
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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