Individual
BENJAMIN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1501 HUGHES WAY STE 100, LONG BEACH, CA 90810
(310) 221-6336
Mailing address
1501 HUGHES WAY STE 100, LONG BEACH, CA 90810-1877
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN688306
CA
Other
Enumeration date
02/27/2018
Last updated
06/05/2019
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