Individual
RANDY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
(505) 433-5096
Mailing address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
(505) 433-5096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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