Individual
CATHLEEN VANESSA GUTIERREZ EXCONDE-MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1620 E 2ND ST STE N, BEAUMONT, CA 92223-3172
(951) 845-6500
(866) 856-0338
Mailing address
4798 S SCOTT WAY, ONTARIO, CA 91762-7365
(415) 629-0525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95023464
CA
363LF0000X
Family Nurse Practitioner
F10220152
CA
Other
Enumeration date
10/31/2022
Last updated
09/15/2023
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