Individual
ANTIONETTE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR # 8809, SAN DIEGO, CA 92103-1911
(408) 712-6486
Mailing address
200 W ARBOR DR # 8809, SAN DIEGO, CA 92103-1911
(408) 712-6486
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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