Individual
CARLOS MARCUS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3491 KURTZ ST, SAN DIEGO, CA 92110-4430
(619) 332-5830
Mailing address
3491 KURTZ ST, SAN DIEGO, CA 92110-4430
(619) 332-5830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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