Individual
MR. MAURICIO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTAIL
Contact information
Practice address
6021 W. CHEYENNE AVE., LAS VEGAS, NV 89108
(702) 396-1426
(702) 657-9419
Mailing address
8105 DIVERNON AVE., LAS VEGAS, NV 89149
(702) 338-6108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1127
NV
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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