Individual
BRIAN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1770 GARFIELD AVE, LINCOLN PARK, MI 48146-2223
(310) 999-9629
Mailing address
1770 GARFIELD AVE, LINCOLN PARK, MI 48146-2223
(310) 999-9629
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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