Individual
MOLLY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9560 E RAY RD, MESA, AZ 85212-8530
(602) 820-1212
Mailing address
3841 W ANDERSON DR, GLENDALE, AZ 85308-4208
(602) 820-1212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2018
Last updated
07/08/2020
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