JAMES EDWIN GUTIERREZ

BOSQUE FARMS, NM
NPI1588085526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  851)
Enumeration Date2013-12-18
Last Update Date2013-12-18
Business Address
JAMES EDWIN GUTIERREZ COTA/L
1260 WILLOW TRL
BOSQUE FARMS, NM 87068-9054
Phone number: 505-379-7695
Mailing Address
JAMES EDWIN GUTIERREZ COTA/L
1260 WILLOW TRL
BOSQUE FARMS, NM 87068-9054
Phone number: 505-379-7695