SHI YI GONG

MODESTO, CA
NPI1568335032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  RN95426567)
Enumeration Date2025-09-29
Last Update Date2025-09-29
Business Address
Mr. SHI YI GONG
4348 FOCUS LN
MODESTO, CA 95356-9052
Phone number: 209-566-5693
Mailing Address
Mr. SHI YI GONG
4348 FOCUS LN
MODESTO, CA 95356-9052
Phone number: 209-566-5693