Individual
ALFONSO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4250 FOWLER LN STE 204, DIAMOND SPRINGS, CA 95619-9782
(559) 359-7077
Mailing address
PO BOX 1987, DIAMOND SPRINGS, CA 95619-1987
(559) 359-7077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
06/20/2023
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