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Individual

ALEXA RAE GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3878 RUFFIN RD, SAN DIEGO, CA 92123-1842
(619) 795-9925
Mailing address
1169 HORNBLEND ST, SAN DIEGO, CA 92109-4137

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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