Individual
RUTH GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Contact information
Practice address
500 UNDERCLIFF AVE # 1, EDGEWATER, NJ 07020-1593
(201) 679-4695
Mailing address
500 UNDERCLIFF AVE # 1, EDGEWATER, NJ 07020-1593
(201) 679-4695
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05896400
NJ
164W00000X
Licensed Practical Nurse
26NP05896400
NY
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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