Individual
TERRA DENEAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W OAKEY BLVD APT 2198, LAS VEGAS, NV 89102-1542
(925) 305-0267
Mailing address
4650 W OAKEY BLVD APT 2198, LAS VEGAS, NV 89102-1542
(925) 305-0267
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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