Samantha A Gomez, LPN
Licensed Practical Nurse in Fall River, MA. Individual provider (NPI-1).
NPI number1104595412
StatusActive
Last updated in NPPESSep 9, 2021
Details
- NPI
- 1104595412
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha A Gomez
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2021
- Certification date
- Sep 8, 2021
- Last updated
- Sep 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 65413LPN | MA | Yes |
Practice location
181 Arizona StFall River, MA 02723-3226
Phone 508-837-0475
Mailing address
181 Arizona StFall River, MA 02723-3226
Phone 508-837-0475
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All 29 Licensed Practical Nurse providers in Fall River · All 3,620 providers in Fall River
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