Individual
ALEX GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4313 N WEBSTER AVE, PERRIS, CA 92571-7457
(951) 482-8749
Mailing address
4313 N WEBSTER AVE, PERRIS, CA 92571-7457
(951) 482-8749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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