Individual
MELVIN RODRIGUEZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
1740 SHOTLEY BRIDGE PLACE, OLNEY, MD 20832
(301) 615-0466
Mailing address
3470 OLNEY LAYTONSVILLE RD STE 182, OLNEY, MD 20832-1734
(301) 615-0466
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18362
MD
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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