Terry Gore
NPI #1497398580 in San Miguel, California
Provider Information
- NPI Number
- 1497398580
- Entity Type
- Individual
- Name
- Terry Gore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Oct 22, 2019
- Last Updated
- Oct 22, 2019
Practice Location
- Address
- 893 RIO MESA CIR
- City
- San Miguel
- State
- California
- ZIP Code
- 93451-9147
- Phone
- (303) 502-6782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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