Individual
MRS. MARILYN E GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3109 EAST CACTUS ROAD, PHOENIX, AZ 85032-7155
(480) 570-1897
(602) 788-1570
Mailing address
3109 EAST CACTUS ROAD, PHOENIX, AZ 85032-7155
(480) 570-1897
(602) 788-1570
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
MT-04713P
AZ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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