Individual
MRS. JULIANA O GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
914 W GROVECENTER ST # 91722, COVINA, CA 91722-4123
(626) 426-4304
(626) 364-7481
Mailing address
212 E ROWLAND ST UNIT 197, COVINA, CA 91723-3146
(626) 426-4304
(626) 364-7481
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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