Individual
KIANNA CELEST GOMEZ-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 ADRIS PL, DOTHAN, AL 36303-1997
(334) 796-9578
Mailing address
112 ADRIS PL, DOTHAN, AL 36303-1997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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