Individual
MARISSA PAULETTE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12200 MONTGOMERY BLVD NE APT D202, ALBUQUERQUE, NM 87111-4197
(575) 288-8402
Mailing address
12200 MONTGOMERY BLVD NE APT D202, ALBUQUERQUE, NM 87111-4197
(575) 288-8402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172A00000X
Driver
513575084
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3624309576
—
NM
Enumeration date
02/04/2019
Last updated
02/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us