Individual
ITCHEL AILEEN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E 12450 S STE 204, DRAPER, UT 84020-8060
(385) 434-0300
Mailing address
114 E 12450 S STE 204, DRAPER, UT 84020-8060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14198557-3102
UT
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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