Individual
CINDY MARIE BOMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3501 HARE RD, GILMER, TX 75644-7562
(903) 284-8647
Mailing address
3501 HARE RD, GILMER, TX 75644-7562
(903) 284-8647
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
670587
TX
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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