Individual
JASMINE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15573 PEACE PIPE ST, VICTORVILLE, CA 92394-6705
(951) 525-7000
Mailing address
15573 PEACE PIPE ST, VICTORVILLE, CA 92394-6705
(951) 525-7000
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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