Individual
MRS. JAYME C GONGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3894
(304) 637-3435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3894
(304) 637-3435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1030351
WV
Other
Enumeration date
07/14/2006
Last updated
01/17/2018
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