Individual
TANISHA SHANTE GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
(413) 584-6855
Mailing address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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