Individual
ANDREA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4266 W MAIN ST STE 100, GRAY, LA 70359-6421
(985) 870-1722
Mailing address
6221 EASTOVER DR, NEW ORLEANS, LA 70128-3619
(985) 870-1722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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