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Individual

LOURDES CAROLINA GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
9612 HELENA AVE, MONTCLAIR, CA 91763-2210
(909) 541-8612
Mailing address
3775 E 11TH ST, LONG BEACH, CA 90804-6430
(909) 541-8612

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86169226
CA

Other

Enumeration date
07/15/2021
Last updated
07/08/2024
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