Individual
GLENDA MAE GORDON-TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MURPHY DR, LEXINGTON, NC 27295-2100
(336) 224-1919
Mailing address
310 MURPHY DR, LEXINGTON, NC 27295-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1528147
NC
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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