Individual
GABRIELA GOMEZ JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 LEE ST # 60016, DES PLAINES, IL 60016-6532
(877) 486-4140
Mailing address
3822 25TH AVE APT 10, SCHILLER PARK, IL 60176-2154
(773) 691-0870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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