Individual
JACQUELINE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4485 S I 19 FRONTAGE RD STE 100, GREEN VALLEY, AZ 85614-5884
(520) 399-6000
(520) 399-6002
Mailing address
6840 E BROADWAY BLVD, TUCSON, AZ 85710-2809
(520) 399-6000
(520) 399-6002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5451
AZ
Other
Enumeration date
02/20/2014
Last updated
07/01/2021
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