Most Relevant Information
Provider Data
| NPI Number: | 1003260092 |
| Provider Name: | STEPHANEE GOMEZ VERA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2016 |
| Last Updated: | 11/27/2018 |
Provider Practice Location
10850 GOLD CENTER DRIVE STE325
SACRAMENTO
CA
956702418
Practice Location Phone/Fax
| Phone: | 9163648395 |
| Fax: |
Provider Mailing Location
3301 37TH AVE
SACRAMENTO
CA
95824
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |