Individual
GINGER GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 SHERMAN ST, FALLON, NV 89406-6112
(480) 200-3347
Mailing address
1351 SHERMAN ST, FALLON, NV 89406-6112
(480) 200-3347
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN201262
AZ
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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