Individual
ALEJANDRA QUETZALY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1171 HOMESTEAD RD STE 250, SANTA CLARA, CA 95050-5485
(408) 320-2590
Mailing address
1171 HOMESTEAD RD STE 250, SANTA CLARA, CA 95050-5485
(408) 320-2590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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