Individual
JUANA ALEIDA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1010 JAMES ST, WESLACO, TX 78596-6654
(956) 968-1621
(956) 447-0646
Mailing address
1010 JAMES ST, WESLACO, TX 78596-6654
(956) 968-1621
(956) 447-0646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1059072
TX
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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