Individual
MRS. BERNADINE T GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1478 MIRABEAU AVE, NEW ORLEANS, LA 70122-1962
(504) 517-5225
Mailing address
1478 MIRABEAU AVE, NEW ORLEANS, LA 70122-1962
(504) 517-5225
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
L300120719
LA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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