Gutierrez, Amanda M

Gutierrez, Amanda M is an sole proprietor health care provider with primary practice located at 900 E Maywood Ave , Peoria IL 61603-2018. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gutierrez, Amanda M can be contacted via phone (309) 202-5043.

Contact Information

Primary practice address
900 E Maywood Ave Peoria IL 61603-2018
Phone: (309) 202-5043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X G36201376785 Illinois

Profile Details

NPI number 1578725305
LBN Legal business name Gutierrez, Amanda M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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