IndividualActive
Garang Gong
NPI 1417754441 · Contractor · Papillion, NE
Provider details
- NPI number
- 1417754441
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Practice location
1214 Applewood Dr Apt B103
Papillion, NE 68046-7612
Phone: (402) 378-1363
Approximate (ZIP-level) locationGet directions
Mailing address
1214 Applewood Dr Apt B103
Papillion, NE 68046-7612
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-09-28
- Certified
- 2025-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.