Individual
MR. ROY OLIVER GUTIERREZ COLOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2000
Mailing address
1848 HOLSTEINER DR, FAIRFIELD, CA 94534-7474
(707) 853-2244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
729080
CA
163WI0500X
Infusion Therapy Registered Nurse
Primary
729080
CA
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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