Individual
DOLLY ALVIZ-GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
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
Update your record
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