MR. Gordon Wallace Waite JR.
NPI #1376862862 in Carmichael, California
Provider Information
- NPI Number
- 1376862862
- Entity Type
- Individual
- Name
- MR. Gordon Wallace Waite JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 23, 2010
- Last Updated
- May 23, 2010
Practice Location
- Address
- 5953 LANDIS AVE
- City
- Carmichael
- State
- California
- ZIP Code
- 95608-3821
- Phone
- (916) 487-5049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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