Individual
NOHEMY GRICEL GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 WESTERWOOD DR, CHARLOTTE, NC 28214-2546
(980) 274-9182
Mailing address
3017 WESTERWOOD DR, CHARLOTTE, NC 28214-2546
(980) 274-9182
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000026759424
NC
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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