Doctor Name: | MRS. MONICA K GOMEZ |
NPI Number: | 1023417284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 32310DI-0 |
Business Practice Address: | 6900 Pecos Rd North Las Vegas, NV - 890864400 |
Business Phone Number: | 7027919000 |
Business Fax Number: | |
Mailing Address: | 6900 Pecos Rd, NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890864400 |
Phone Number: | 7027919000 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | 32310DI-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |