Individual
JOSE GULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13682 YORBA ST, TUSTIN, CA 92780-1831
(714) 730-5399
Mailing address
1725 N CONCERTO DR, ANAHEIM, CA 92807-2009
(714) 395-1092
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
286682
CA
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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