Individual
VANESSA MONIQUE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW,QMHP-CS
Contact information
Practice address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(817) 902-9752
Mailing address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(817) 902-9752
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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