Individual
GINA MICHELLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 E ST, FRESNO, CA 93706-2024
(559) 268-6261
Mailing address
2741 W MISSION CT, VISALIA, CA 93277-7258
(559) 545-9188
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
582440
CA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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