MR. Bo Gong

NPI #1407115835 in Melbourne, Florida

Provider Information

NPI Number
1407115835
Entity Type
Individual
Name
MR. Bo Gong
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
May 4, 2012
Last Updated
Feb 4, 2025

Practice Location

Address
6559 N WICKHAM RD # C-103
State
Florida
ZIP Code
32940-2052
Phone
(407) 861-6966

Specialties & Taxonomy Codes

Specialty
Massage Therapist
Student in an Organized Health Care Education/Training Program

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