Individual
KATHY D GUZMAN-GOMBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 JACKSON ST, OSHKOSH, WI 54901-2938
(920) 229-6300
Mailing address
1301 JACKSON ST, OSHKOSH, WI 54901-2938
(920) 229-6300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162361-30
WI
163WC0400X
Case Management Registered Nurse
162361-30
WI
163WH0200X
Home Health Registered Nurse
162361-30
WI
163WP0200X
Pediatric Registered Nurse
162361-30
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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