Individual
ANDREA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 32ND ST SW, WYOMING, MI 49509-2875
(989) 702-2082
Mailing address
1150 32ND ST SW, WYOMING, MI 49509-2875
(989) 702-2082
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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