Individual
ERIC R GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
526 5TH ST, CHENEY, WA 99004-1619
(509) 359-6200
Mailing address
1032 OASIS AVE, DEER PARK, WA 99006-5107
(907) 953-7263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.007041
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
06/30/2021
Last updated
11/05/2024
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