Corral Gutierrez, Bianca Vanessa

Corral Gutierrez, Bianca Vanessa is an individual health care provider with primary practice located at 2420 Martin Rd Ste 200 , Fairfield CA 94534-8610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Corral Gutierrez, Bianca Vanessa can be contacted via phone (707) 399-4520.

Contact Information

Primary practice address
2420 Martin Rd Ste 200 Fairfield CA 94534-8610
Phone: (707) 399-4520
Fax: (707) 399-4521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528468162
LBN Legal business name Corral Gutierrez, Bianca Vanessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2014
Last updated Oct 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers