Individual
DALENE BARBARA GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 KILSYTH RD, SOUTH EASTON, MA 02375-1054
(508) 649-2592
Mailing address
51 KILSYTH RD, SOUTH EASTON, MA 02375-1054
(508) 649-2592
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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