Individual
JENNA MARIE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 LOMAS BLVD NW # 2080, ALBUQUERQUE, NM 87102-2080
(505) 247-1701
(505) 247-1704
Mailing address
620 LOMAS BLVD NW # 2080, ALBUQUERQUE, NM 87102-2080
(505) 247-1701
(505) 247-1704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7151
NM
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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