Individual
AMY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
(530) 749-8640
Mailing address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36162
CA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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