Individual
RODRIGO GOMEZ
Active
Individual
RODRIGO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/05/2010
Last updated
09/19/2019
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