Individual
YVONNE MARILEE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4457 SUMMERSVILLE LAKE RD, SUMMERSVILLE, WV 26651-5097
(814) 631-3470
Mailing address
85 GOFF RD, OAK HILL, WV 25901-9551
(814) 631-3470
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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