Individual
MARK GORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1657 CAMPGROUND RD, TUNNELTON, WV 26444-7049
(304) 441-1830
Mailing address
1657 CAMPGROUND RD, TUNNELTON, WV 26444-7049
(304) 441-1830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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