Individual
MS. DALE MARIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9114 PHILADELPHIA RD, BALTIMORE, MD 21237-4345
(443) 231-5711
(443) 231-5790
Mailing address
237 SPRY ISLAND RD, JOPPA, MD 21085-5433
(443) 865-4701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006089
MD
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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