Individual
IAN PAUL GIOVANNI GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E CARVER ST, DURHAM, NC 27704-2135
(919) 471-3558
Mailing address
303 E CARVER ST, DURHAM, NC 27704-2135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17420
NC
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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