Individual
JISSEL ALTAGRACIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PARK ST, LAWRENCE, MA 01841-2517
(978) 685-1770
Mailing address
1 GRIFFIN BROOK DR, METHUEN, MA 01844-1865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN10026223
MA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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