KELLEY EILEEN GOMEZ

BOISE, ID
NPI1780037184
Former NameKELLEY EILEEN GROLL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VT  101.0119709)
Enumeration Date2016-07-20
Last Update Date2018-12-11
Business Address
Mrs. KELLEY EILEEN GOMEZ APRN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 508-864-0937
Mailing Address
Mrs. KELLEY EILEEN GOMEZ APRN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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