Individual
JONATHAN JOSE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 5TH AVE, CONCORD, CA 94518-1107
(925) 286-2221
Mailing address
1312 5TH AVE, CONCORD, CA 94518-1107
(925) 286-2221
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
079201110
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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