Individual
JASON MICHAEL GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
4223 32ND AVENUE CT NW, GIG HARBOR, WA 98335-8508
(253) 886-2338
Mailing address
4223 32ND AVENUE CT NW, GIG HARBOR, WA 98335-8508
(253) 886-2338
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60336579
WA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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