Individual
LORENA L GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20280 SE 152ND ST, RENTON, WA 98059-8213
(254) 396-0144
Mailing address
20280 SE 152ND ST, RENTON, WA 98059-8213
(254) 396-0144
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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