Individual
DOLLY ALVIZ-GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9335 RESEDA BLVD STE 102, NORTHRIDGE, CA 91324-2977
(818) 805-7433
Mailing address
20144 TUBA ST, CHATSWORTH, CA 91311-3446
(818) 426-4575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
692436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2097777
CA DRIVERS LICENSE
CA
Enumeration date
05/14/2020
Last updated
05/14/2020
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