Individual
MS. MACAELA JULIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
PO BOX 10, TIERRA AMARILLA, NM 87575-0010
(575) 588-7297
(575) 588-0359
Mailing address
PO BOX 812, CHAMA, NM 87520-0812
(970) 749-7001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3674
NM
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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