Individual
DR. MARIO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 W MAIN ST APT 505, PEORIA, IL 61606-1385
(714) 349-5704
Mailing address
13571 MASHONA AVE, CHINO, CA 91710-8345
(714) 349-5704
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
12/06/2021
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