Individual
DANIEL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12218 KLINGERMAN ST, EL MONTE, CA 91732-3839
(626) 602-4643
Mailing address
12218 KLINGERMAN ST, EL MONTE, CA 91732-3839
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37732
CA
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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