BRYAN GOMEZ

GLENDORA, CA
NPI1508017617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  34392)
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
BRYAN GOMEZ XXX34392
1172 SOUTH GRAND AVE
GLENDORA, CA 91740
Phone number: 626-335-5980
Mailing Address
BRYAN GOMEZ XXX34392
4122 LINCOLN AVE.
EL MONTE, CA 91731-2108
Phone number: 626-454-2205