Individual
THELMA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8951 STARDUST TRL, FLAGSTAFF, AZ 86004-1165
(928) 527-5520
Mailing address
8951 STARDUST TRL, FLAGSTAFF, AZ 86004-1165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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