Individual
JESSE A GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 N 2ND ST, SAN JOSE, CA 95112-4143
(408) 398-6241
Mailing address
290 N 2ND ST, SAN JOSE, CA 95112-4143
(408) 398-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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