Individual
FABIOLA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10577 S REDWOOD RD., #110, SOUTH JORDAN, UT 84095
(385) 418-7427
Mailing address
3477 W 6825 S, WEST JORDAN, UT 84084-1719
(801) 214-5832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9796906-4701
UT
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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