Doctor Name: | JESSICA GUTIERREZ |
NPI Number: | 1033460902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT04538 |
Business Practice Address: | 3030 N Las Vegas Blvd North Las Vegas, NV - 890305756 |
Business Phone Number: | 7026425318 |
Business Fax Number: | |
Mailing Address: | 5376 Chica Way, LAS VEGAS |
State: | NV |
Postal Code: | 891202019 |
Phone Number: | 7024192856 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | PT04538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |