Individual
CARLOS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Mailing address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2755
NM
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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