Individual
CARMEN REZA GUTIERREZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
364 E ROWLAND ST, COVINA, CA 91723-3154
(626) 331-6448
(626) 967-7006
Mailing address
364 E ROWLAND ST, COVINA, CA 91723-3154
(626) 331-6448
(626) 967-7006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8569T
CA
Other
Enumeration date
10/01/2005
Last updated
07/08/2007
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