Individual
MICHELE ALENE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
400 FERN ST, NEW ELLENTON, SC 29809-2713
(203) 915-3633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239642
SC
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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