Individual
ARLENE GUNGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 EMERALD POND LN, BLDG LOST A, DURHAM, NC 27705-6051
(919) 475-4041
Mailing address
201 S MAIN ST, BLDG LOST A, LAMBERTVILLE, NJ 08530-1800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4605075
MEDICARE B
—
Enumeration date
02/10/2015
Last updated
02/10/2015
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