Individual
DENISE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 ROMEO RD UNIT 225, ROCHESTER, MI 48307-1663
(254) 426-0750
Mailing address
436 ROMEO RD UNIT 225, ROCHESTER, MI 48307-1663
(254) 426-0750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084690
MI
Other
Enumeration date
02/27/2019
Last updated
01/24/2024
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