JAYME C GONGOLA

ELKINS, WV
NPI1235155029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  1030351)
Enumeration Date2006-07-14
Last Update Date2018-01-17
Business Address
Mrs. JAYME C GONGOLA PAC
812 GORMAN AVE
ELKINS, WV 26241-3181
Phone number: 304-637-3894
Mailing Address
Mrs. JAYME C GONGOLA PAC
812 GORMAN AVE
ELKINS, WV 26241-3181
Phone number: 304-637-3894