NISSA J GOSSOM

ALLENTOWN, PA
NPI1659680130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: PA  MW010224)
Enumeration Date2010-09-30
Last Update Date2015-12-18
Business Address
-- NISSA J GOSSOM CNM
1611 POND RD SUITE 401
ALLENTOWN, PA 18104-2258
Phone number: 610-398-7700
Mailing Address
-- NISSA J GOSSOM CNM
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number: