Individual
FANNY PEREZ GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 N BLACKSTONE AVE, FRESNO, CA 93703-3606
(559) 445-0694
(559) 445-1480
Mailing address
1210 N BLACKSTONE AVE, FRESNO, CA 93703-3606
(559) 445-0694
(559) 445-1480
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
123211
CA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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