Most Relevant Information
Provider Data
| NPI Number: | 1003464546 |
| Provider Name: | MICHAEL GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 344600000X |
| Specialty: | Taxi |
| License Number: | A5435510 |
Most Important Dates
| Enumeration Date: | 08/28/2019 |
| Last Updated: | 08/28/2019 |
Provider Practice Location
342 WABASH AVE
UKIAH
CA
954826316
Practice Location Phone/Fax
| Phone: | 7072723901 |
| Fax: |
Provider Mailing Location
342 WABASH AVE
UKIAH
CA
954826316
Provider Mailing Phone/Fax
| Phone: | 7072723901 |
| Fax: |