Individual
MARISELA MARTINEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ATTN: VIVIAN AKOMAH, 14515 HAMLIN S, VAN NUYS, CA 91411
(818) 374-5383
Mailing address
14160 SHERMAN WAY APT 15, VAN NUYS, CA 91405-2426
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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