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Individual

RIO MARTIN YAP GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
5800 QUANTRELL AVE #420, ALEXANDRIA, VA 22132
(917) 658-8744
Mailing address
5800 QUANTRELL AVE APT 420, ALEXANDRIA, VA 22312-2710
(917) 658-8744

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1710I1002X
CA

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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