IndividualActive
Alice Gong
NPI 1558217992 · Student in an Organized Health Care Education/Training Program · Jenks, OK
Provider details
- NPI number
- 1558217992
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
224 S Gateway Pl Ste 101
Jenks, OK 74037-3448
Phone: (918) 747-2020
Approximate (ZIP-level) locationGet directions
Mailing address
1558 W Swan Pl
Chandler, AZ 85286-5149
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.