Most Relevant Information
Provider Data
| NPI Number: | 1003408584 |
| Provider Name: | FELICIA GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/06/2021 |
| Last Updated: | 02/06/2021 |
Provider Practice Location
1601 CHERRY ST
PHILADELPHIA
PA
191021320
Practice Location Phone/Fax
| Phone: | 2678858391 |
| Fax: |
Provider Mailing Location
2152 BUCKINGHAM DR
JAMISON
PA
189291537
Provider Mailing Phone/Fax
| Phone: | 2678858391 |
| Fax: |