Individual
HEATHER GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7411
(209) 541-2114
Mailing address
3850 LEXAR DR APT 26, CERES, CA 95307-7434
(209) 818-1408
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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