Individual
KESHA M. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, BLSI
Contact information
Practice address
1301 MONUMENT RD STE 17, JACKSONVILLE, FL 32225-6462
(904) 383-6915
Mailing address
4553 REVELSTOKE DR, JACKSONVILLE, FL 32207-7430
(904) 383-6915
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
641008180001
FL
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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