Provider Demographics
NPI:1437192390
Name:GUTIERREZ, YOLANDA (RD, PHD)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:RD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 ARMADA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1533
Mailing Address - Country:US
Mailing Address - Phone:650-341-9398
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS (ACC-5TH FL)
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-353-2350
Practice Address - Fax:415-353-2337
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA412306133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered