Individual
DANIEL GOMEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8955 STELLA CT, STOCKTON, CA 95210-2004
(209) 472-0861
Mailing address
8955 STELLA CT, STOCKTON, CA 95210-2004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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