Individual
GABRIELLE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2657 120TH AVE, HOLLAND, MI 49424-8692
(616) 395-0606
Mailing address
2657 120TH AVE, HOLLAND, MI 49424-8692
(616) 395-0606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005621
MI
Other
Enumeration date
06/09/2022
Last updated
08/03/2022
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