Individual
AGUSTIN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3222
(510) 222-3946
Mailing address
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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