Individual
ELIZABETH MARIE GAYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 W LOCKEFORD ST APT 1, LODI, CA 95240-1613
(209) 712-8202
Mailing address
808 W LOCKEFORD ST APT 1, LODI, CA 95240-1613
(209) 712-8202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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