Individual provider · Type 1 NPI

Orlando Gonzalez Gomar

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1336989516 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-6111 Map

Mailing address

76 Galleon Way
Pittsburg, CA 94565-3539

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336989516

Orlando Gonzalez Gomar's National Provider Identifier is 1336989516, issued on May 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on May 28, 2024.