TAE JEONG GONG

LAS VEGAS, NV
NPI1790463883
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-07
Last Update Date2023-07-07
Business Address
MR. TAE JEONG GONG
1001 SHADOW LN
LAS VEGAS, NV 89106-4124
Phone number: 702-895-3011
Mailing Address
MR. TAE JEONG GONG
1001 SHADOW LN
LAS VEGAS, NV 89106-4124
Phone number:
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