CHUNLIU GONG
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1609500792- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 317 MARTIN LUTHER KING JR WAY, TACOMA, WA, 984054234
- Phone
- (253) 403-1400
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: WA #AP61327907
All Addresses
MAILING
2257 22ND PL SE
ALBANY, OR, 973225470