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Individual
PATRICIA GUTIERREZ
Active
Individual
PATRICIA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17619
NURSE PRACTITIONER FURNISHING
CA
01
—
613965
RN LICENSE
CA
Enumeration date
11/13/2008
Last updated
10/25/2024
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