Individual ProviderEmmanuel Espino GutierrezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address584 E Bellevue Rd, Atwater, CA 95301-2300(559) 747-2177PECOS EnrollmentBased on the most recent information from CMS, provider Emmanuel Espino Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154915304Provider TypeIndividualFull NameEspino Gutierrez, EmmanuelGenderMaleSole ProprietorNoEnumeration Date2/26/2021Last Updated2/26/2021Contact InformationPractice LocationPractice Address584 E Bellevue Rd, Atwater, CA 95301-2300Phone(559) 747-2177FaxUnlisted FaxMailing LocationMailing Address584 E Bellevue Rd, Atwater, CA 95301-2300Phone(559) 747-2177FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer