Individual
MRS. MAYRA VERONICA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.A
Contact information
Practice address
4212 DELAND AVE, PICO RIVERA, CA 90660-1705
(562) 639-7476
Mailing address
4212 DELAND AVE, PICO RIVERA, CA 90660-1705
(562) 639-7476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA324
CA
Other
Enumeration date
05/20/2010
Last updated
07/31/2016
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