Provider Demographics
NPI:1417538927
Name:SOUTH WEST HELPING HANDS SURGICAL ASSISTANT
Entity Type:Organization
Organization Name:SOUTH WEST HELPING HANDS SURGICAL ASSISTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:518-361-4912
Mailing Address - Street 1:455 ITHACA CT APT 901
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-7182
Mailing Address - Country:US
Mailing Address - Phone:518-361-4912
Mailing Address - Fax:
Practice Address - Street 1:455 ITHACA CT APT 901
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-7182
Practice Address - Country:US
Practice Address - Phone:518-361-4912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty