Individual
MRS. DIANA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 PATASSI WAY, UPLAND, CA 91784-9296
(760) 987-5688
Mailing address
1771 PATASSI WAY, UPLAND, CA 91784-9296
(760) 987-5688
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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