Individual
MRS. SILVANA G GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
741 MAGIE AVE, ELIZABETH, NJ 07208-1573
(908) 265-1735
Mailing address
741 MAGIE AVE, ELIZABETH, NJ 07208-1573
(908) 265-1735
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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