Individual
GABRIELLA NICOLE GOMEZ-AGUDELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W MOCKINGBIRD LN, DALLAS, TX 75247-5028
(972) 489-5552
Mailing address
2616 CREEK CROSSING RD, MESQUITE, TX 75181-1599
(662) 549-5201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
10/17/2024
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