IndividualActive
Bailey Gongob
NPI 1174104566 · Student in an Organized Health Care Education/Training Program · Honolulu, HI
Provider details
- NPI number
- 1174104566
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
771 Amana St Ste 201
Honolulu, HI 96814-3238
Phone: (808) 294-9728
Approximate (ZIP-level) locationGet directions
Mailing address
335 Anapalau St
Honolulu, HI 96825-2241
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.