Individual provider · NPI-1

Jean-Michael Gutierrez

Technician · Ocala, FL

NPI number1083491591
StatusActive
Last updated in NPPESSep 11, 2023

Details

NPI
1083491591
Entity type
Individual (NPI-1)
Name
Jean-Michael Gutierrez
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 11, 2023
Certification date
Sep 10, 2023
Last updated
Sep 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

5481 Sw 60th St
Ocala, FL 34474-7698

Phone 352-425-0385

Mailing address

5481 Sw 60th St
Ocala, FL 34474-7698

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