Individual ProviderWendy Michelle GutierrezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address363 Richland Ave, 259, Athens, OH 45701-3210(956) 508-4829(956) 489-1954PECOS EnrollmentBased on the most recent information from CMS, provider Wendy Michelle Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1295100634Provider TypeIndividualFull NameGutierrez, Wendy MichelleCredentialATCGenderFemaleSole ProprietorYesEnumeration Date12/10/2015Last Updated6/13/2022Contact InformationPractice LocationPractice Address363 Richland Ave, 259, Athens, OH 45701-3210Phone(956) 508-4829FaxUnlisted FaxMailing LocationMailing Address4434 Exodus Dr, Laredo, TX 78046-4048Phone(956) 489-1954FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense004768Ohio