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Individual

JACQUELINE GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
729 N MEDICAL CENTER DR W STE 223, CLOVIS, CA 93611-6885
(559) 449-9990
Mailing address
729 N MEDICAL CENTER DR W STE 223, CLOVIS, CA 93611-6885

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
212251
NC

Other

Enumeration date
11/19/2015
Last updated
03/20/2023
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