Individual
JONATHAN CHRISTIAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2444 CASSIDY RD, FORT BLISS, TX 79916-3500
(915) 568-8755
Mailing address
4311 CARSWELL AVE, BLDG 340, LAS VEGAS, NV 89191-7069
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
03/11/2024
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