Gomez, Dora Sandra
Gomez, Dora Sandra is an sole proprietor health care provider with primary practice located at 38 Clarences Rd , Los Lunas NM 87031-7682. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gomez, Dora Sandra can be contacted via phone (505) 864-0326.Contact Information
Primary practice address
38 Clarences Rd
Los Lunas NM 87031-7682
Phone: (505) 864-0326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1273 | New Mexico |
Profile Details
| NPI number | 1225186786 |
|---|---|
| LBN Legal business name | Gomez, Dora Sandra |
| Credentials | B.A., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225186786 | NPPES |
| New Mexico | MEDICAID | J9842 |
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