Individual
JOSE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407-2318
(909) 537-5495
(909) 537-7002
Mailing address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407-2318
(909) 537-5495
(909) 537-7002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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