Individual
MICHELE S GOMEZ-LEFFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GRN
Contact information
Practice address
402 W WHEATLAND RD STE 180, DUNCANVILLE, TX 75116-4600
(469) 254-5346
(682) 759-5955
Mailing address
402 W WHEATLAND RD STE 180, DUNCANVILLE, TX 75116-4600
(469) 254-5346
(682) 759-5955
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
308029
TX
174H00000X
Health Educator
—
—
261Q00000X
Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992393268
—
TX
Enumeration date
04/16/2014
Last updated
03/30/2021
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