Individual
SANDRA C GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/PHN
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7763
Mailing address
785 OAKCREST AVE, BREA, CA 92821-1845
(714) 529-4335
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
402729
CA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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