Joshua Lee Gutierrez L.A.C.

NPI 1073866828 - Massage Therapist - 225700000X

NPI Details
NPI 1073866828
Gender Male
Enumeration Date 10/17/2012
Last Updated 12/15/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
1700 GREAT NECK RD
COPIAGUE NY, 11726-2723, US
Phone (631) 481-6478
Fax
Business Location
7 POPLAR RD
AMITYVILLE NY, 11701-1016, US
Phone (631) 481-6478
Fax
Toxanomy
Taxonomy Code 225700000X
License State New York
License Number 020015
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According to our database, Mr. Joshua Lee Gutierrez L.A.C. NPI is 1073866828, taxonomy code is 225700000X and license number is 020015, license state is located at New York. Joshua Lee Gutierrez L.A.C. physically located at 1700 Great Neck Rd, Copiague NY, 11726-2723. NPI Number Joshua Lee Gutierrez L.A.C. has the Individual type.

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1073866828 NPI number is provided on an as is basis without warranty of any kind. 1073866828 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Lee Gutierrez L.A.C. are for informational purposes only.