Individual
ANNA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
1312 CAVALIER ST, MOORE, OK 73160-1618
(405) 625-3642
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA152
OK
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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