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1932823945
MARISELA MARTINEZ GUTIERREZ
VAN NUYS, CA
NPI
1932823945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
MARISELA MARTINEZ GUTIERREZ
ATTN: VIVIAN AKOMAH 14515 HAMLIN S
VAN NUYS, CA 91411
Phone number: 818-374-5383
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Mailing Address
MARISELA MARTINEZ GUTIERREZ
14160 SHERMAN WAY APT 15
VAN NUYS, CA 91405-2426
Phone number:
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