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Alta Gomez

NPI 1437579935 · on the registry since 2014 · sole proprietor

Practice

Address
508 Lynnehaven Dr
Apt. L
Hagerstown, MD 21742
Phone
(240) 500-6406

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland