IndividualActive
Jessie Gomez
NPI 1609563816 · Independent Duty Medical Technicians · Jbphh, HI
Provider details
- NPI number
- 1609563816
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1253 Makalapa Gate Rd Bldg 1407
Jbphh, HI 96860-4479
Phone: (518) 653-4308
Approximate (ZIP-level) locationGet directions
Mailing address
1253 Makalapa Gate Rd Bldg 1407
Jbphh, HI 96860-4479
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.