Individual
ANGELICA SERANIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
(619) 263-3992
Mailing address
838 MADISON AVE, CHULA VISTA, CA 91911-1011
(708) 856-1099
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
739990
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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