Individual
ANDRIA MARIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21500 PIONEER BLVD STE 105, HAWAIIAN GARDENS, CA 90716-2600
(714) 503-6850
(562) 809-3948
Mailing address
21500 PIONEER BLVD STE 105, HAWAIIAN GARDENS, CA 90716-2600
(714) 503-6850
(562) 809-3948
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37075
CA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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