-- JENNA LOUISE GONGOLA -- OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1194810242- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- RT 250 219 CHENOWETH CREEK RD, ELKINS, WV, 26241
- Phone
- (304) 636-3887
- Fax
- (304) 636-0538
Specialties & Taxonomies
Optometrist
Primary License: WV #93800