Individual
MRS. KIMBERLY JUNE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8064 SOUTH AVENUE, GREENBRIAR HEALTH CARE, YOUNGSTOWN, OH 44512
(330) 726-2391
Mailing address
391 TUDOR LANE, BOARDMAN, OH 44512-1656
(330) 631-1368
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501104350406
OH
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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