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DANIELLE MONIQUE GOMES

General Practice >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1124311196

Individual Registrant:
 DANIELLE MONIQUE GOMES 
Gender: F
Sole Proprietor

Location and contact information for practice:
1964 STATE HIGHWAY 11C  NORTH LAWRENCE, NY 12967 US
Tel: 315-212-8286  Fax: --

Contact information for business:
PO BOX 46  NORTH LAWRENCE, NY 12967-0046 US
Tel: 315-212-8286  Fax: --

Registration Information:
NPI: 1124311196
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WG0000XNursing Service Providers
Registered Nurse
General Practice
NY624316

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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