Individual
ENDA YADIRA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1125 E 17TH ST, SUITE E214, SANTA ANA, CA 92701-2201
(714) 955-4776
Mailing address
1125 E 17TH ST, SUITE E214, SANTA ANA, CA 92701-2201
(714) 955-4776
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT00041201
CA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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