Gong, Amanda

Gong, Amanda is an individual health care provider with primary practice located at 2857 Lincoln Ave , Clovis CA 93611. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Gong, Amanda can be contacted via phone (559) 325-6518.

Contact Information

Primary practice address
2857 Lincoln Ave Clovis CA 93611
Phone: (559) 325-6518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN214738 California

Profile Details

NPI number 1215083738
LBN Legal business name Gong, Amanda
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215083738 NPPES
California Other EPS014610 CALIFORNIA MEDICAID
California Other RVN002950 CALIFORNIA MEDICAID

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