Gutierrez, Jhetali Miracle

Gutierrez, Jhetali Miracle is an individual health care provider with primary practice located at 1801 American Blvd E , Bloomington MN 55425-1232. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gutierrez, Jhetali Miracle can be contacted via phone (952) 767-2267.

Contact Information

Primary practice address
1801 American Blvd E Bloomington MN 55425-1232
Phone: (952) 767-2267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336756725
LBN Legal business name Gutierrez, Jhetali Miracle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2020
Last updated Sep 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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