MR. Nicholas Raymond Gutierrez, ATC, LAT

NPI #1073977625 in Los Lunas, New Mexico

Provider Information

NPI Number: 1073977625
Entity Type: Individual
Name: MR. Nicholas Raymond Gutierrez, ATC, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ATC, LAT
Enumeration Date: Apr 11, 2016
Last Updated: Apr 11, 2016

Practice Location

Address: 1776 EMILIO LOPEZ RD NW
City: Los Lunas
State: New Mexico
ZIP Code: 87031-7082
Phone: (505) 865-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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