Search › Wisconsin › 164W00000X
Jessica Clark-Gomez
NPI 1275727141 · on the registry since 2007 · sole proprietor
Practice
- Address
- 342 E Union St
Richland Center, WI 53581 - Phone
- (608) 647-6415
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin