JENNA GONGOLA, OD
Optometrist
Active
Individual
NPI: 1194810242
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 93800 (WV) |
Frequently Asked Questions
NPI 1194810242 is the National Provider Identifier for JENNA GONGOLA, OD, a Optometrist provider located in Elkins, WV. This NPI was enumerated on October 4, 2006.
JENNA GONGOLA, OD practices at RT 250 219 CHENOWETH CREEK RD, Elkins, WV 26241.
Quick Facts
- NPI
- 1194810242
- Type
- Individual
- Enumerated
- Oct 4, 2006
- Last Updated
- Mar 9, 2010
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