Individual
SHEYENNE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 762-3421
Mailing address
111 LANSBROOK RD, PONCA CITY, OK 74601-7407
(580) 485-8265
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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