Individual
LIDIA GUADALUPE GOMEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1909 WALLING CT, DAVENPORT, IA 52803-3056
(563) 343-2686
Mailing address
1909 WALLING CT, DAVENPORT, IA 52803-3056
(563) 324-5934
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06845
IA
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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