Organization
LIBIA M GUTIERREZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIBIA M GUTIERREZ (CNA)
(305) 910-5444
Entity
Organization
Contact information
Practice address
840 SE 10TH PL, HIALEAH, FL 33010-5828
(305) 910-5444
(305) 805-5247
Mailing address
840 SE 10TH PL, HIALEAH, FL 33010-5828
(305) 910-5444
(305) 805-5247
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689331798
—
FL
Enumeration date
04/05/2011
Last updated
04/05/2011
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