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Individual

DIANA MARIE GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
431 WOLFE RD STE 102, SAN ANTONIO, TX 78216-4630
(210) 582-5840
Mailing address
431 WOLFE RD STE 102, SAN ANTONIO, TX 78216-4630

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
220078401
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952614067
TX
Enumeration date
07/18/2019
Last updated
07/18/2019
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