Individual
JUSTINE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 E AMADOR AVE, LAS CRUCES, NM 88001-3677
(628) 999-3409
Mailing address
3621 MARION LN, LAS CRUCES, NM 88012-7579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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