Individual
DR. AISHA GOMANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21301 S TAMIAMI TRL, ESTERO, FL 33928-2942
(239) 948-1182
Mailing address
21301 S TAMIAMI TRL, ESTERO, FL 33928-2942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56695
FL
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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