Individual
MARIAELLENA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY VILLAGE WAY STE 11B, MODESTO, CA 95350-4341
(209) 544-0487
Mailing address
1700 MCHENRY VILLAGE WAY STE 11B, MODESTO, CA 95350-4341
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
05/13/2025
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