Individual
FRITZ GERARD CAJILIG GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
Mailing address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
246724
CA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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