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Individual

EVE MARIE GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2530 FRUITVALE AVE APT 10, OAKLAND, CA 94601-1946
(530) 210-9090
Mailing address
2530 FRUITVALE AVE APT 10, OAKLAND, CA 94601-1946
(530) 210-9090

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47228
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8736521
CA
Enumeration date
11/30/2021
Last updated
11/30/2021
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