Individual
ALFRED GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810
(310) 221-6336
(310) 221-6350
Mailing address
3919 W HAZARD AVE, SANTA ANA, CA 92703-2625
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
278189
CA
Other
Enumeration date
05/04/2018
Last updated
07/19/2018
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