Individual
TIFFANY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15867 W CROCUS DR, SURPRISE, AZ 85379-6249
(623) 474-3424
Mailing address
15867 W CROCUS DR, SURPRISE, AZ 85379-6249
(623) 474-3424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0668
AZ
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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