SAMUEL TOMMY GONG

SANTA MARIA, CA
NPI1215496260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A176710)
Enumeration Date2019-03-19
Last Update Date2023-11-02
Business Address
SAMUEL TOMMY GONG
2271 S DEPOT ST
SANTA MARIA, CA 93455-1216
Phone number: 805-349-8514
Mailing Address
SAMUEL TOMMY GONG
2271 S DEPOT ST
SANTA MARIA, CA 93455-1216
Phone number: 805-349-8514
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