Individual
GILLIAN GOMULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11201 BENTON ST, 112, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3291
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 583-6232
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
443868
CA
Other
Enumeration date
04/13/2007
Last updated
02/22/2012
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