Individual
TIERRA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 DAVID BERGER ST, MOUNT MORRIS, MI 48458-2709
(810) 349-7100
Mailing address
6101 DAVID BERGER ST, MOUNT MORRIS, MI 48458-2709
(810) 349-7100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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