Individual
LORETTA CERDA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22919 WHITE POWDER DR, SPRING, TX 77373-2343
(361) 946-6289
Mailing address
22919 WHITE POWDER DR, SPRING, TX 77373-2343
(361) 946-6289
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
11148004
TX
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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