Individual
KAYLA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3803 MANCHESTER ST, COLO SPGS, CO 80907-4828
(719) 428-5552
(719) 687-9519
Mailing address
3803 MANCHESTER ST, COLO SPGS, CO 80907-4828
(719) 428-5552
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.0998280-CNM
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2021
Last updated
12/14/2022
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