Gutierrez, Vanessa M
Gutierrez, Vanessa M is an sole proprietor health care provider with primary practice located at 6519 4Th St Nw , Los Ranchos De Albuquerque NM 87107-5812. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gutierrez, Vanessa M can be contacted via phone (505) 342-2500.Contact Information
Primary practice address
6519 4Th St Nw
Los Ranchos De Albuquerque NM 87107-5812
Phone: (505) 342-2500
Fax: (505) 342-2500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1596 | New Mexico |
Profile Details
| NPI number | 1033289830 |
|---|---|
| LBN Legal business name | Gutierrez, Vanessa M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033289830 | NPPES |
| New Mexico | MEDICAID | 23974559 |
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