Individual
ADIANEZ GEMA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16781 SW 282ND ST, HOMESTEAD, FL 33030-2052
(786) 366-5244
Mailing address
16781 SW 282ND ST, HOMESTEAD, FL 33030-2052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109864600
—
FL
Enumeration date
03/15/2021
Last updated
06/16/2021
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