Individual
CANDACE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65B N 13TH ST, NEWARK, NJ 07107-1105
(973) 444-5759
Mailing address
65B N 13TH ST, NEWARK, NJ 07107-1105
(973) 444-5759
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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