Charla V Gordon, MNT
NPI #1699782052 in Sault Sainte Marie, Michigan
Provider Information
- NPI Number
- 1699782052
- Entity Type
- Individual
- Name
- Charla V Gordon, MNT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MNT
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2864 ASHMUN STREET
- Address 2
- SAULT TRIBAL HEALTH CENTER
- State
- Michigan
- ZIP Code
- 49783
- Phone
- (906) 632-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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