Edward Johan Gomillion, LMT

NPI #1093930802 in Phoenix, Arizona

Provider Information

NPI Number
1093930802
Entity Type
Individual
Name
Edward Johan Gomillion, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LMT
Enumeration Date
Apr 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3227 E BELL RD
Address 2
SUITE 201
State
Arizona
ZIP Code
85032-2700
Phone
(602) 485-8434

Specialties & Taxonomy Codes

Specialty
Specialist

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