MS. Gayle Ruth Gordon, LICENSED PRACTICAL N
NPI #1366442071 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1366442071
- Entity Type
- Individual
- Name
- MS. Gayle Ruth Gordon, LICENSED PRACTICAL N
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LICENSED PRACTICAL N
- Enumeration Date
- Jul 22, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1220 WILLIS AVE
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-2810
- Phone
- (386) 236-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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