Individual
MRS. NATALEE RENAE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 BAILEY CT, GREEN RIVER, WY 82935-6115
(307) 870-8451
Mailing address
1400 BAILEY CT, GREEN RIVER, WY 82935-6115
(307) 870-8451
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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