Individual
MISS CLARISSA MARIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24340 APPLE TREE LN, PLAINFIELD, IL 60585-2276
(630) 415-4787
Mailing address
24340 APPLE TREE LN, PLAINFIELD, IL 60585-2276
(630) 415-4787
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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