Individual
CHRISTINE MARIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1045 W REDONDO BEACH BLVD, ST 500, GARDENA, CA 90247-4128
(310) 329-9492
Mailing address
23251 CAROLDALE AVE, CARSON, CA 90745-4611
(310) 625-6117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000304
CA
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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