Individual
BLANCA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
61 S HUMBOLDT ST, WILLITS, CA 95490-3509
(707) 680-7693
Mailing address
PO BOX 2104, WILLITS, CA 95490-2104
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP1178
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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