Doctor Name: | MARIA GRACE GOMES |
NPI Number: | 1245377316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26NO08505700 |
Business Practice Address: | 943 Hualapai Way Peach Springs, AZ - 864340190 |
Business Phone Number: | 9287692959 |
Business Fax Number: | |
Mailing Address: | 123 Long Pointe Dr, MARY ESTHER |
State: | FL |
Postal Code: | 325691389 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 26NO08505700 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |