Jane Bingiyan Bongotan

NPI #1538638630 in Providence Village, Texas

Provider Information

NPI Number
1538638630
Entity Type
Individual
Name
Jane Bingiyan Bongotan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Nov 19, 2018
Last Updated
Nov 19, 2018

Practice Location

Address
6004 HAILEY CT PROVIDENCE VILLAGE
State
Texas
ZIP Code
76227
Phone
(954) 605-5177

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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