Provider Demographics
NPI:1588406953
Name:GUTIERREZ, VALERIE MONIQUE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MONIQUE
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 BRENTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-7315
Mailing Address - Country:US
Mailing Address - Phone:559-631-6108
Mailing Address - Fax:
Practice Address - Street 1:201 S K ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-4013
Practice Address - Country:US
Practice Address - Phone:559-881-7089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist