Individual
CELIA DAHLIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
258 GRAND STREET, PLACEDO, TX 77977
(361) 235-0301
Mailing address
43 PRAHA RD, LASALLE, TX 77969
(361) 235-0301
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
139371
TX
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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