Individual
BIANCA VANESSA CORRAL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 399-4520
(707) 399-4521
Mailing address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 399-4520
(707) 399-4521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/02/2014
Last updated
10/31/2023
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