Individual
MS. CASSANDRA GUTIERREZ MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(510) 861-3052
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(510) 861-3052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010183
CA
Other
Enumeration date
10/17/2018
Last updated
08/28/2023
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