Individual
MEWW GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
5701 EXECUTIVE CENTER DR STE 350, CHARLOTTE, NC 28212-8847
(704) 323-6718
Mailing address
5701 EXECUTIVE CENTER DR STE 350, CHARLOTTE, NC 28212-8847
(704) 323-6718
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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