Individual
THAILEE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 W 16TH AVE, KENNEWICK, WA 99337-4735
(206) 372-6540
Mailing address
426 W 16TH AVE, KENNEWICK, WA 99337-4735
(206) 372-6540
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
BD61627577
WA
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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