Individual
JESSICA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 BENJAMIN ST, SAGINAW, MI 48602-5311
(989) 860-7586
Mailing address
4778 MELROSE ST, SAGINAW, MI 48601-6925
(989) 890-7586
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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