Dr DIANE E GUTIERREZ is a female medical professional, specializing in Clinical Social Worker. She graduated in 1985.
SANTA CLARA HEALTH CENTER
400 STATE RD
SUITE 30
ESPANOLA
NM
875328208
Tel: 5057539421
| Npi | 1669566360 |
| Pac Id | 7416016621 |
| Professional Enrollment Id | I20081103000544 |
| Last Name | GUTIERREZ |
| First Name | DIANE |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Secondary Specialty 1 | |
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| Organization Legal Name | SANTA CLARA HEALTH CENTER |
| Group Practice Pac Id | 4981591922 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 400 STATE RD |
| Line 2 Street Address | SUITE 30 |
| Marker Of Address Line 2 Suppression | |
| City | ESPANOLA |
| State | NM |
| Zip Code | 875328208 |
| Phone Number | 5057539421 |
| Hospital Affiliation Ccn 1 | 320057 |
| Hospital Affiliation Lbn 1 | SANTA FE PHS INDIAN HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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