Individual
JACQUELINE SOFIA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Mailing address
19742 WESTERLY DR, RIVERSIDE, CA 92508-3271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95221248
CA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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