Individual
VICENTE GUTIERREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(760) 927-2937
Mailing address
13460 SAGE ST, HESPERIA, CA 92344-8425
(760) 927-2937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033506
CA
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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