Individual
ALICE GOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1463 OAKFIELD DR STE 102, BRANDON, FL 33511-3893
(813) 438-8902
(813) 438-8903
Mailing address
1463 OAKFIELD DR STE 102, BRANDON, FL 33511-3893
(813) 438-8902
(813) 438-8903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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