Individual
DANIELLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4776 W 4775 S, SALT LAKE CITY, UT 84118-6122
(281) 541-0180
Mailing address
4776 W 4775 S, SALT LAKE CITY, UT 84118-6122
(281) 541-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13996318-3102
UT
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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