Individual
DEBORAH ANN GOMEZ-BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN, RN, MSN
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 573-2584
(650) 573-2042
Mailing address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 573-2584
(650) 573-2042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
624673
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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