Individual provider · Type 1 NPI

Daniel A. Gongora, LVN

Licensed Vocational Nurse · Eureka, CA

NPI number 1104461847 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Call (000) 000-0000 Map

Mailing address

PO Box 554
Smith River, CA 95567-0554

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X169269 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1104461847

Daniel A. Gongora, LVN's National Provider Identifier is 1104461847, issued on Nov 15, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Eureka, CA. The record was last updated on Nov 15, 2019.