Individual
KAYLA NICOLE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 N GRAND AVE, COVINA, CA 91724-2046
(562) 693-5449
Mailing address
1130 S LARK ELLEN AVE, WEST COVINA, CA 91791-3529
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7847
CA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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