Individual
NICOLE J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHC, CT
Contact information
Practice address
10440 SHAKER DR, SUITE 105, COLUMBIA, MD 21046-1200
(973) 271-7415
Mailing address
1801 RAMBLING RIDGE LN, APT 302, BALTIMORE, MD 21209-1229
(973) 271-7415
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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