Individual
VANESSA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8505
(760) 863-8587
Mailing address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8505
(760) 863-8587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
271906
CA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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