JENNA LOUISE GONGOLA

ELKINS, WV
NPI1194810242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WV  93800)
Enumeration Date2006-10-04
Last Update Date2010-03-09
Business Address
-- JENNA LOUISE GONGOLA OD
RT 250 219 CHENOWETH CREEK RD
ELKINS, WV 26241
Phone number: 304-636-3887
Mailing Address
-- JENNA LOUISE GONGOLA OD
PO BOX 1489
ELKINS, WV 26241
Phone number: 304-636-3887
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