Gomez, Destini Rae
Gomez, Destini Rae is an individual health care provider with primary practice located at 1227 N Railroad Ave Ste C , Espanola NM 87532-3159. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gomez, Destini Rae can be contacted via phone (505) 747-8187.Contact Information
Primary practice address
1227 N Railroad Ave Ste C
Espanola NM 87532-3159
Phone: (505) 747-8187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 60815 | New Mexico |
Profile Details
| NPI number | 1285376087 |
|---|---|
| LBN Legal business name | Gomez, Destini Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2022 |
| Last updated | Apr 12th, 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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