Individual
MEWW GOMEZ
Active
Individual
MEWW GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019008213
VA
225700000X
Massage Therapist
17657
NC
225700000X
Massage Therapist
Primary
249
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019008213
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS
VA
01
—
17657
NORTH CAROLINA BOARD OF MASSAGE AND BODYWORK THERAPY
NC
01
—
249
NORTH CAROLINA BOARD OF MASSAGE AND BODYWORK THERAPY ESTABLISHMENT LICENSE
NC
Enumeration date
04/28/2020
Last updated
11/08/2023
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