Minerva Gutierrez, LVN
Licensed Vocational Nurse in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1053175869
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1053175869
- Entity type
- Individual (NPI-1)
- Name
- Minerva Gutierrez
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2024
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 689314 | CA | Yes |
Other names
- Minerva Ceja (Former Name)
Practice location
936 W Boston AveRidgecrest, CA 93555-4802
Phone 760-677-1710
Mailing address
936 W Boston AveRidgecrest, CA 93555-4802
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