Individual provider · NPI-1

Cynthia J Gomez

Rehabilitation Practitioner · Albuquerque, NM

NPI number1366872251
StatusActive
Last updated in NPPESSep 14, 2020

Details

NPI
1366872251
Entity type
Individual (NPI-1)
Name
Cynthia J Gomez
Sex
Female
Sole proprietor
No
Enumeration date
Nov 14, 2013
Certification date
Sep 14, 2020
Last updated
Sep 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–NMYes

Practice location

2001-B Centro Familiar
Albuquerque, NM 87105

Phone 505-272-5786 · Fax 505-873-5970

Mailing address

933 Bradbury Dr Se
Albuquerque, NM 87106-4374

Phone 505-272-3120 · Fax 505-272-8060

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