Individual
FATIMA VALDIVIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
2617 E LINCOLNWAY STE G, CHEYENNE, WY 82001-5671
(307) 514-1288
Mailing address
2617 E LINCOLNWAY STE G, CHEYENNE, WY 82001-5671
(307) 514-1288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC1689
WY
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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