Individual
FRANCES GOMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 S FRONT ST, WINONA, MS 38967-2544
(662) 508-5108
(662) 508-5109
Mailing address
374 COUNTY ROAD 48, VAIDEN, MS 39176-5047
(662) 508-5108
(662) 508-5109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P277002
MS
Other
Enumeration date
01/22/2014
Last updated
01/13/2016
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