Individual
ANGELICA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY VILLAGE WAY, MODESTO, CA 95350-4308
(209) 550-5869
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
05/14/2025
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