Individual
MILDRED R GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 NORFOLK ST, DORCHESTER, MA 02124
(617) 751-8063
Mailing address
108 NORFOLK ST, DORCHESTER, MA 02124-3315
(617) 751-8063
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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