Brandi Bongolan

NPI #1497419410 in Morgan Hill, California

Provider Information

NPI Number: 1497419410
Entity Type: Individual
Name: Brandi Bongolan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 26, 2021
Last Updated: Apr 15, 2025

Practice Location

Address: 16264 CHURCH ST STE 103
City: Morgan Hill
State: California
ZIP Code: 95037-7130
Phone: (408) 779-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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