Amgie Gutierrez, IBCLC
Lactation Consultant, Non-RN in Brandon, FL. Individual provider (NPI-1).
NPI number1609616697
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1609616697
- Entity type
- Individual (NPI-1)
- Name
- Amgie Gutierrez
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2024
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-314592 | FL | Yes |
Practice location
655 Overton Grove Way Apt 226Brandon, FL 33511-2392
Phone 786-369-6932
Mailing address
655 Overton Grove Way Apt 226Brandon, FL 33511-2392
Phone 786-369-6932
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