Individual
HARRIET IRENE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1217 GRAYCLIFF LN, ODENTON, MD 21113-1698
(302) 824-9579
Mailing address
1217 GRAYCLIFF LN, ODENTON, MD 21113-1698
(302) 824-9579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4887
MD
Other
Enumeration date
03/28/2023
Last updated
01/24/2025
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