Gomez, Yesenia R

Gomez, Yesenia R is an sole proprietor health care provider with primary practice located at 209 River St , Mattapan MA 02126-2727. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gomez, Yesenia R can be contacted via phone (617) 534-9559.

Contact Information

Primary practice address
209 River St Mattapan MA 02126-2727
Phone: (617) 534-9559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1497246557
LBN Legal business name Gomez, Yesenia R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2018
Last updated Jun 5th, 2020 - about 5 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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