Individual
ANGELLICA O GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
433 BOLIVAR ST APT B, NEW ORLEANS, LA 70112-7021
(810) 618-3034
Mailing address
1449 MAGAZINE ST, APT B, NEW ORLEANS, LA 70130-4238
(810) 618-3034
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
06/25/2020
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