Gomez, Juan Gabriel

Gomez, Juan Gabriel is an sole proprietor health care provider with primary practice located at 5701 W Talavi Blvd Ste 180 , Glendale AZ 85306-1888. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gomez, Juan Gabriel can be contacted via phone (480) 335-8010.

Contact Information

Primary practice address
5701 W Talavi Blvd Ste 180 Glendale AZ 85306-1888
Phone: (480) 335-8010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP10242 Arizona

Profile Details

NPI number 1801322755
LBN Legal business name Gomez, Juan Gabriel
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated Aug 8th, 2022 - about 4 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.

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