Individual
ATHAN ALLEN GOMEZ- HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 S PECOS RD STE 103, LAS VEGAS, NV 89121-5828
(702) 689-5710
Mailing address
4760 S PECOS RD STE 103, LAS VEGAS, NV 89121-5828
(702) 689-5710
(702) 966-6313
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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