Individual
MRS. MIRJANA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
722 E HENRY CLAY ST, APT 5, WHITEFISH BAY, WI 53217-5615
(310) 795-1633
Mailing address
722 E HENRY CLAY ST, APT 5, WHITEFISH BAY, WI 53217-5615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4331-154
WI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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