Morgan Alleabelle Gongola
Student in an Organized Health Care Education/Training Program in Lexington, KY. Individual provider (NPI-1).
NPI number1629656129
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1629656129
- Entity type
- Individual (NPI-1)
- Name
- Morgan Alleabelle Gongola
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
800 Rose StLexington, KY 40536-7001
Phone 859-323-6346
Mailing address
800 Rose StLexington, KY 40536-7001
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