Individual provider · NPI-1

Loretta Cerda Gomez

Technician, Attendant Care Provider · Spring, TX

NPI number1083488936
StatusActive
Last updated in NPPESNov 10, 2023

Details

NPI
1083488936
Entity type
Individual (NPI-1)
Name
Loretta Cerda Gomez
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2023
Certification date
Nov 10, 2023
Last updated
Nov 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider11148004TXYes

Practice location

22919 White Powder Dr
Spring, TX 77373-2343

Phone 361-946-6289

Mailing address

22919 White Powder Dr
Spring, TX 77373-2343

Phone 361-946-6289

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