Individual
MISS REBECCA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2351 CLAY ST, 307A, SAN FRANCISCO, CA 94115-1931
(415) 600-1112
Mailing address
2351 CLAY ST, SUITE 307 A, SAN FRANCISCO, CA 94115-1931
(415) 600-1121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18191
CA
Other
Enumeration date
07/20/2006
Last updated
07/10/2007
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