Individual
MISS MIYUKI GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 N HERBERT AVE, LOS ANGELES, CA 90063-1802
(323) 697-9572
Mailing address
132 N HERBERT AVE, LOS ANGELES, CA 90063-1802
(323) 697-9572
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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