Gomez, Eva H

Gomez, Eva H is an individual health care provider with primary practice located at 9401 W Garfield St , Tolleson AZ 85353-1606. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gomez, Eva H can be contacted via phone (623) 533-3969.

Contact Information

Primary practice address
9401 W Garfield St Tolleson AZ 85353-1606
Phone: (623) 533-3969
Fax: (623) 936-0649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP049214 Arizona

Profile Details

NPI number 1124797048
LBN Legal business name Gomez, Eva H
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2021
Last updated Sep 13th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124797048 NPPES
Other 741589 AHCCCS

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