Individual
DESTINY MONET GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805
(626) 441-4221
Mailing address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805
(626) 441-4221
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT42667
CA
Other
Enumeration date
11/07/2023
Last updated
11/27/2023
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