Individual
GLADYS N GICHOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHD
Contact information
Practice address
530 KILSYTH CT, FOLSOM, CA 95630-6218
(410) 598-6859
Mailing address
530 KILSYTH CT, FOLSOM, CA 95630-6218
(410) 598-6859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95183108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
02/12/2021
Last updated
02/12/2021
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