Individual
MARIA TERESA GABUTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25091 PACIFIC CREST ST, CORONA, CA 92883-3116
(951) 818-7965
Mailing address
25091 PACIFIC CREST ST, CORONA, CA 92883-3116
(951) 818-7965
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
95057257
CA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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