Individual
NINA M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 286-7838
(505) 286-8025
Mailing address
PO BOX 896, EDGEWOOD, NM 87015-0896
(505) 286-7838
(505) 286-8025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1016
NM
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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