ENRIQUE DANIEL GOMEZ

GLENDALE, CA
NPI1164945564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95006986)
Enumeration Date2017-07-18
Last Update Date2019-09-16
Business Address
Mr. ENRIQUE DANIEL GOMEZ NP
1500 E CHEVY CHASE DR # 204
GLENDALE, CA 91206-4152
Phone number: 818-827-3898
Mailing Address
Mr. ENRIQUE DANIEL GOMEZ NP
PO BOX 41926
LOS ANGELES, CA 90041-0926
Phone number: