Individual
ELLENEISHA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 ORMOND PL, DESTREHAN, LA 70047-3132
(504) 247-6096
Mailing address
11 ORMOND PL, DESTREHAN, LA 70047-3132
(504) 247-6096
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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