Individual
JESSICA ALEXIS GUTIERREZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2197
(480) 541-5800
Mailing address
1429 S RACINE, MESA, AZ 85206-3415
(602) 422-3826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
218094
AZ
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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