Organization
EUNICE MARIE ALVARE GOMEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE MARIE ALVAREZ GOMEZ NP (RN)
(310) 756-8098
Entity
Organization
Contact information
Practice address
10410 EAGLE CANYON RD, SAN DIEGO, CA 92127-7866
(310) 756-8098
Mailing address
10410 EAGLE CANYON RD, SAN DIEGO, CA 92127-7866
(310) 756-8098
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
710743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710743
CALIFORNIA LICENSE
CA
Enumeration date
07/26/2014
Last updated
07/26/2014
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