Individual
KERI GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 MARGORY CT, NOVATO, CA 94947-2922
(954) 793-8338
Mailing address
13 MARGORY CT, NOVATO, CA 94947-2922
(954) 793-8338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3661
CA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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