Jessica Gutierrez
Pharmacy Technician in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1033460902
StatusActive
Last updated in NPPESOct 1, 2012
Details
- NPI
- 1033460902
- Entity type
- Individual (NPI-1)
- Name
- Jessica Gutierrez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2012
- Last updated
- Oct 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | pt04538 | NV | Yes |
Practice location
3030 N Las Vegas BlvdNorth Las Vegas, NV 89030-5756
Phone 702-642-5318
Mailing address
5376 Chica WayLas Vegas, NV 89120-2019
Phone 702-419-2856
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