Individual
DOROTHY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 1ST AVE NE, EAST GRAND FORKS, MN 56721-1905
(701) 269-7231
Mailing address
622 1ST AVE NE, EAST GRAND FORKS, MN 56721-1905
(701) 269-7231
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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