Individual
MS. DORA SANDRA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., M.S.
Contact information
Practice address
38 CLARENCES RD, LOS LUNAS, NM 87031-7682
(505) 864-0326
Mailing address
38 CLARENCES RD, LOS LUNAS, NM 87031-7682
(505) 864-0326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1273
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J9842
—
NM
Enumeration date
01/08/2007
Last updated
07/09/2007
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