Individual
CAMILLE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16055 VENTURA BLVD STE 905, ENCINO, CA 91436-2611
(323) 471-5316
Mailing address
16055 VENTURA BLVD STE 905, ENCINO, CA 91436-2611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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