Individual
RONELL LAWRENCE GORDON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 JEFFERSON BLVD BLDG B, WEST SACRAMENTO, CA 95605-2350
(530) 314-7559
Mailing address
500 JEFFERSON BLVD BLDG B, WEST SACRAMENTO, CA 95605-2350
(530) 314-7559
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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