Individual
JESSICA VELASCO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 W PARR AVE #116, LOS GATOS, CA 95032
(408) 596-0192
Mailing address
634 W PARR AVE UNIT 116, LOS GATOS, CA 95032-1545
(408) 596-0192
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
250152
CA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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