Socorro Gomez's National Provider Identifier (NPI) Details
Socorro Gomez, Licensed MFT
NPI: 1396882874
Enumeration Date: 2007-01-31
Last updated: 2015-04-03
Sole Proprietor: YES
Status: active
Postal Address: 17216 SLOVER AVE BLDG L, FONTANA, CA
Phone: 909-854-3420
Primary Practice Address: 933 AZURE CT, UPLAND, CA
Practice's phone: 909-210-7581