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Individual

ISAURA GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
VN

Contact information

Practice address
10506 OTIS ST, SOUTH GATE, CA 90280-6724
(323) 357-8580
Mailing address
10506 OTIS ST, SOUTH GATE, CA 90280-6724
(323) 357-8580

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
243596
CA

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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