Individual
ALMIRA GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84-03 57TH AVE, ELMHURST, NY 11373
(718) 899-9060
Mailing address
158-17 GOETHALS AVENUE, JAMAICA, NY 11432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
018508
NY
Other
Enumeration date
12/12/2013
Last updated
12/26/2013
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