Individual
CORAZON GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1800
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
577807
CA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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