Individual
GORDON R MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1326 30TH ST UNIT B, BAKERSFIELD, CA 93301-2412
(661) 371-2652
Mailing address
PO BOX 20914, BAKERSFIELD, CA 93390-0914
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
628930
CA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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