Individual
ASHTON CONSTANCE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1934 MEDI PARK DR, AMARILLO, TX 79106-2175
(806) 352-3900
Mailing address
5707 NOTRE DAME DR, AMARILLO, TX 79109-6662
(806) 206-2337
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343737
LICENSED VOCATIONAL NURSE
TX
01
—
MA29887
CERTIFIED MEDICATION AIDE
TX
01
—
NA0008357507
CERTIFIED NURSES ASSISTANT
TX
Enumeration date
11/27/2019
Last updated
11/27/2019
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