Individual
MRS. ANGEL CHALECE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7226 BRIDE WATER BLVD, COLUMBUS, OH 43235-2079
(616) 933-1645
Mailing address
7226 BRIDE WATER BLVD, COLUMBUS, OH 43235-2079
(616) 933-1645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
139436
OH
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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