Individual
DR. ALETA BELINDA GONG
Active
Individual
DR. ALETA BELINDA GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
AZ 835
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860840518
—
AZ
01
—
Z103102
GROUP ID #
AZ
Enumeration date
01/30/2006
Last updated
10/02/2014
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