Individual
DR. ANNA LUCILLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1028 WISCONSIN AVE, BOSCOBEL, WI 53805-1532
(608) 375-4466
Mailing address
1208 WISCONSIN AVE, BOSCOBEL, WI 53805-1643
(262) 758-7637
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
21160-40
WI
171400000X
Health & Wellness Coach
—
—
183500000X
Pharmacist
Primary
21160-40
WI
Other
Enumeration date
09/25/2021
Last updated
09/28/2021
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