Individual
MR. COURTNEY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 993-1212
(626) 204-0086
Mailing address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 993-1212
(626) 204-0086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
784465
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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