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Shantay Gutierrez

Case Manager/Care Coordinator in Tooele, UT. Individual provider (NPI-1).

NPI number1639986409
StatusActive
Last updated in NPPESDec 16, 2024

Details

NPI
1639986409
Entity type
Individual (NPI-1)
Name
Shantay Gutierrez
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2024
Certification date
Dec 16, 2024
Last updated
Dec 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care CoordinatorACM-01861UTYes

Practice location

461 S Main St
Tooele, UT 84074-2747

Phone 435-274-3402

Mailing address

461 S Main St
Tooele, UT 84074-2747

Phone 435-274-3402

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