Gomgom Siregar
Gomgom Siregar is a Home Health Aide in Centennial, Colorado. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
5235 S Liverpool WayCentennial, CO 80015
Phone: (720) 998-6372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1043664907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 18, 2016 |
| Last updated in NPPES | April 18, 2016 |
| Mailing address | 5235 S Liverpool Way, Centennial, CO 80015 |
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