Jackson Luis Gutierrez
Jackson Luis Gutierrez is a Nurse's Aide in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2023.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
18470 E Lark DrQueen Creek, AZ 85142-5170
Phone: (615) 282-1052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse's Aide (primary) | Taxonomy 376K00000X · Licence 279143 (AZ) |
|---|
Record details
| NPI number | 1841977089 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2023 |
| Last updated in NPPES | June 29, 2023 |
| Certification date | June 29, 2023 |
| Mailing address | 18470 E Lark Dr, Queen Creek, AZ 85142-5170 |