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Individual

GENEVA D GUTIERREZ VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
4021 ORANGE AVE, CYPRESS, CA 90630-2715
(800) 707-5768
(888) 723-3351
Mailing address
4021 ORANGE AVE, CYPRESS, CA 90630-2715
(800) 707-5768
(888) 723-3351

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9072
CA

Other

Enumeration date
08/27/2015
Last updated
09/25/2015
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