Randall Gordon JR.

NPI #1467141531 in Mount Vernon, New York

Provider Information

NPI Number: 1467141531
Entity Type: Individual
Name: Randall Gordon JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: May 4, 2023
Last Updated: May 4, 2023

Practice Location

Address: 30 PARK AVE APT 1L
City: Mount Vernon
State: New York
ZIP Code: 10550-2151
Phone: (347) 341-9334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Driver	172A00000X	Primary

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