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Individual

DANIEL GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
8000 MARINA BLVD STE 600, BRISBANE, CA 94005-1887
(415) 514-3577
Mailing address
405 DAVIS CT APT 1806, SAN FRANCISCO, CA 94111-2439

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95019216
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95019216
CA

Other

Enumeration date
12/06/2022
Last updated
08/02/2023
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