JUNG HO GONG

PROVIDENCE, RI
NPI1003519737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP06245)
Enumeration Date2023-03-22
Last Update Date2024-05-01
Business Address
JUNG HO GONG
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
Mailing Address
JUNG HO GONG
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
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