Individual
MRS. ALICIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2100
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 591-4512
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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