Individual
YASSARA V GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 ALGONQUIN ST, BROCKTON, MA 02302-2452
(401) 215-8402
Mailing address
121 ALGONQUIN ST, BROCKTON, MA 02302-2452
(401) 215-8402
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
2308343
MA
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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