Individual
ERICK GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS DIPLOMA
Contact information
Practice address
2630 W RUMBLE RD, MODESTO, CA 95350-0155
(209) 579-9444
(209) 579-9494
Mailing address
2630 W RUMBLE RD, MODESTO, CA 95350-0155
(209) 579-9444
(209) 579-9494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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