Individual
ANDREA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 526-8022
Mailing address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 526-8022
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN702032
CA
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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