Individual
KHADIJAH TRIGGS-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 5TH AVE APT 6G, NEW YORK, NY 10037-2014
(917) 504-4202
Mailing address
2255 5TH AVE APT 6G, NEW YORK, NY 10037-2014
(917) 504-4202
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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