Individual
RICARDO JORGE GUTIERREZ
Active
Individual
RICARDO JORGE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
13956
CA
Other
Enumeration date
04/25/2012
Last updated
11/14/2013
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