Individual
CHARLIE JAMES GOMEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
30239
CA
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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