Individual
ASIA ANN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2816 E ALLISON AVE, CUDAHY, WI 53110-2541
(414) 349-7458
Mailing address
2816 E ALLISON AVE, CUDAHY, WI 53110-2541
(414) 349-7458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10274-33
WI
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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