JUAN CARLOS GUTIERREZ

SAN DIEGO, CA
NPI1881390904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-01-31
Last Update Date2023-08-17
Business Address
JUAN CARLOS GUTIERREZ SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 219-743-1730
Mailing Address
JUAN CARLOS GUTIERREZ SFIDC
13127 14TH ST BUILDING 13127
CAMP PENDLETON, CA 92058
Phone number: 760-763-0306