Individual provider · Type 1 NPI

Bailey R. Gongob

Student in an Organized Health Care Education/Training Program · Honolulu, HI

NPI number 1174104566 Active

Practice location

771 Amana St Ste 201
Honolulu, HI 96814-3238

Call (808) 294-9728 Map

Mailing address

335 Anapalau St
Honolulu, HI 96825-2241

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174104566

Bailey R. Gongob's National Provider Identifier is 1174104566, issued on Apr 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Honolulu, HI. The record was last updated on Apr 16, 2021.