Individual
MIRIAN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
(323) 409-7614
Mailing address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
574622
CA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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