Bryan Gomez, XXX34392
NPI #1508017617 in Glendora, California
Provider Information
- NPI Number
- 1508017617
- Entity Type
- Individual
- Name
- Bryan Gomez, XXX34392
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- XXX34392
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 1172 SOUTH GRAND AVE
- City
- Glendora
- State
- California
- ZIP Code
- 91740
- Phone
- (626) 335-5980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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