Individual
GRACE MARIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 E MAIN ST, BRIDGEPORT, CT 06608-1915
(203) 382-0009
Mailing address
1060 E MAIN ST, BRIDGEPORT, CT 06608-1915
(203) 382-0009
(203) 332-7677
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PTN.0022351
CT
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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