Individual
MS. TANYA CAROLINA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Mailing address
341 PIERRE RD, WALNUT, CA 91789-2534
(909) 595-0433
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 483
CA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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