Individual
STACIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12481 E 106TH PL, COMMERCE CITY, CO 80022-7031
(720) 891-9999
Mailing address
12481 E 106TH PL, COMMERCE CITY, CO 80022-7031
(720) 891-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1631194
CO
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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