Individual
NICOLE HOLLY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1134 1/2 N MARYLAND AVE, GLENDALE, CA 91207-1607
(310) 696-9860
Mailing address
1134 1/2 N MARYLAND AVE, GLENDALE, CA 91207-1607
(310) 696-9860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
93715
CA
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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