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ALEXANDER ICARIAH GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3030 W CLEARWATER AVE STE 150, KENNEWICK, WA 99336-2948
(509) 579-1477
Mailing address
426 W 16TH AVE, KENNEWICK, WA 99337-4735
(509) 627-9861

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61374752
WA

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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