DANIEL A GONGORA

EUREKA, CA
NPI1104461847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  169269)
Enumeration Date2019-11-15
Last Update Date2019-11-15
Business Address
DANIEL A GONGORA LVN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 000-000-0000
Mailing Address
DANIEL A GONGORA LVN
PO BOX 554
SMITH RIVER, CA 95567-0554
Phone number: 707-954-5940
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