Grace Pongnea Gorman

NPI #1679246045 in Bryan, Texas

Provider Information

NPI Number
1679246045
Entity Type
Individual
Name
Grace Pongnea Gorman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jul 30, 2021
Last Updated
Jul 30, 2021

Practice Location

Address
1608 ROCK HOLLOW LOOP
City
Bryan
State
Texas
ZIP Code
77807-2360
Phone
(210) 326-9956

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Specialist/Technologist - Athletic TrainerAthletic Trainer

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