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Ginger Gong

Registered Nurse, Case Management in Fallon, NV. Individual provider (NPI-1).

NPI number1982307831
StatusActive
Last updated in NPPESMar 22, 2023

Details

NPI
1982307831
Entity type
Individual (NPI-1)
Name
Ginger Gong
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2023
Certification date
Mar 22, 2023
Last updated
Mar 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC0400X Registered Nurse, Case ManagementRN201262AZYes

Practice location

1351 Sherman St
Fallon, NV 89406-6112

Phone 480-200-3347

Mailing address

1351 Sherman St
Fallon, NV 89406-6112

Phone 480-200-3347

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