Tara A Gomez RN SFA

NPI 1245423110 - Registered Nurse - 163WX0800X

NPI Details
NPI 1245423110
Gender Female
Enumeration Date 08/23/2007
Last Updated 05/06/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2300 E 30TH ST BLDG D STE 101
FARMINGTON NM, 87401-8990, US
Phone (505) 327-1400
Fax (505) 564-3202
Business Location
2300 E 30TH ST BLDG D STE 101
FARMINGTON NM, 87401-8990, US
Phone (505) 327-1400
Fax (505) 564-3202
Toxanomy
Taxonomy Code 163WX0800X
License State New Mexico
License Number R52863
Remove 1245423110 NPI Number
 

According to our database, Mrs. Tara A Gomez RN SFA NPI is 1245423110, taxonomy code is 163WX0800X and license number is R52863, license state is located at New Mexico. Tara A Gomez RN SFA physically located at 2300 E 30th St Bldg D Ste 101, Farmington NM, 87401-8990. NPI Number Tara A Gomez RN SFA has the Individual type.

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1245423110 NPI number is provided on an as is basis without warranty of any kind. 1245423110 is maintained by the National Plan & Provider Enumeration System. The contents of Tara A Gomez RN SFA are for informational purposes only.