Individual
JOHANNE AVILES-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8821
Mailing address
734 RIVER DELL TOWNES AVE, CLAYTON, NC 27527-8923
(919) 841-7923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
333558
NC
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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