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Daniela Paola Gomez

Student in an Organized Health Care Education/Training Program in Montclair, CA. Individual provider (NPI-1).

NPI number1982128930
StatusActive
Last updated in NPPESAug 1, 2017

Details

NPI
1982128930
Entity type
Individual (NPI-1)
Name
Daniela Paola Gomez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2017
Last updated
Aug 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

9916 Central Ave
Montclair, CA 91763-3201

Phone 909-450-2502

Mailing address

9916 Central Ave
Montclair, CA 91763-3201

Phone 909-450-2502 · Fax 909-450-2637

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