Individual
MR. CHRISTOPHER MANUEL GOMEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSHS
Contact information
Practice address
1401 S DON ROSER DR STE D, LAS CRUCES, NM 88011-4567
(575) 522-5144
Mailing address
PO BOX 843, MESQUITE, NM 88048-0843
(575) 496-6806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171M00000X
NM
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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