Individual
JOSEFINA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12692 BLACKTHORN ST, GARDEN GROVE, CA 92840-4805
(714) 478-5934
Mailing address
12692 BLACKTHORN ST, GARDEN GROVE, CA 92840-4805
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
3544833
CA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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