Individual
DR. CRISTINA LAVENANT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10912 DERRYDOWN WAY, SAN DIEGO, CA 92130-2897
(619) 723-3359
Mailing address
10912 DERRYDOWN WAY, SAN DIEGO, CA 92130-2897
(619) 723-3359
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A157992
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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