Individual
SHASHANA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2613 DOUGLASS RD SE APT 301, WASHINGTON, DC 20020-6568
(202) 779-6561
Mailing address
2613 DOUGLASS RD SE APT 301, WASHINGTON, DC 20020-6568
(202) 779-6561
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/26/2023
Last updated
10/24/2023
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