Individual
JESSICA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 ATLANTA AVE STE D1, RIVERSIDE, CA 92507-7418
(951) 955-2105
Mailing address
1827 ATLANTA AVE STE D1, RIVERSIDE, CA 92507-7418
(951) 955-2105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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