Individual
LORI J. GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
5202 UNIVERSITY AVE, SAN DIEGO, CA 92105-2268
(619) 285-5581
Mailing address
5202 UNIVERSITY AVE, SAN DIEGO, CA 92105-2268
(619) 285-5581
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
835387
CA
Other
Enumeration date
09/25/2013
Last updated
10/18/2013
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