Individual
DIANE GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 S GESSNER RD, APT 382, HOUSTON, TX 77063-2044
(415) 420-8533
Mailing address
2401 S GESSNER RD, APT 382, HOUSTON, TX 77063-2044
(415) 420-8533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44752
TX
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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