Gutierrez, Jessica Lynn

Gutierrez, Jessica Lynn is an sole proprietor health care provider with primary practice located at 1111 W Tokay St , Lodi CA 95240-3965. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Community Health Worker is her primary health care specialty. Gutierrez, Jessica Lynn can be contacted via phone (209) 336-8206.

Contact Information

Primary practice address
1111 W Tokay St Lodi CA 95240-3965
Phone: (209) 336-8206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245975242
LBN Legal business name Gutierrez, Jessica Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2022
Last updated May 30th, 2024 - about 6 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245975242 NPPES
California Other F7292285 DRIVER LICENSE

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