Individual
GORETY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E FOOTHILL BLVD STE 300, PASADENA, CA 91107-7102
(626) 993-3000
Mailing address
153 N VERNON AVE, AZUSA, CA 91702-4354
(626) 392-4799
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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