Individual
GUADALUPE GUILLEN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2926 COVEY LN, SUNNYSIDE, WA 98944-8941
(509) 836-2818
Mailing address
931 IDA BELLE ST, SUNNYSIDE, WA 98944-9030
(509) 643-6260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61566391
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2024
Last updated
05/28/2024
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