Chanel Gordon

NPI #1184267346 in Mesa, Arizona

Provider Information

NPI Number
1184267346
Entity Type
Individual
Name
Chanel Gordon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Oct 21, 2019
Last Updated
Oct 21, 2019

Practice Location

Address
1731 W BASELINE RD STE 107
City
Mesa
State
Arizona
ZIP Code
85202-5730
Phone
(480) 687-2336

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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