Individual
MS. JEANNETTE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
16222 SCHAEFER HWY, DETROIT, MI 48235-4246
(248) 388-8935
(248) 424-8872
Mailing address
16309 HARDEN CIR, SOUTHFIELD, MI 48075-3022
(248) 388-8935
(248) 424-8872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704128787
MI
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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