Individual
HEATHER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
8301 W CHARLESTON BLVD APT 2075, LAS VEGAS, NV 89117-1251
(702) 875-6029
Mailing address
8301 W CHARLESTON BLVD APT 2075, LAS VEGAS, NV 89117-1251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.5570
NV
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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