Individual
LAURIANE CLARISSE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 TELEGRAPH RD STE A, SANTA FE SPRINGS, CA 90670-6835
(562) 949-8455
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2023
Last updated
08/08/2023
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