Individual
MARIAH GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 LAKE ST APT A, CHADRON, NE 69337-2892
(308) 430-1227
Mailing address
433 LAKE ST APT A, CHADRON, NE 69337-2892
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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