Individual
NICHOLAS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
6613 W FAIRVIEW AVE, MILWAUKEE, WI 53213-3934
(262) 844-7661
Mailing address
6613 W FAIRVIEW AVE, MILWAUKEE, WI 53213-3934
(262) 844-7661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201815
WI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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