Individual
DANIELLE MONIQUE GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1964 STATE HIGHWAY 11C, NORTH LAWRENCE, NY 12967
(315) 212-8286
Mailing address
PO BOX 46, NORTH LAWRENCE, NY 12967-0046
(315) 212-8286
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
624316
NY
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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