Bethany C Gordon

NPI #1720687833 in Mansfield, Ohio

Provider Information

NPI Number: 1720687833
Entity Type: Individual
Name: Bethany C Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 20, 2020
Last Updated: Oct 23, 2023

Practice Location

Address: 2528 HAVILAND CT
City: Mansfield
State: Ohio
ZIP Code: 44903-6928
Phone: (419) 565-6575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Student in an Organized Health Care Education/Training Program	390200000X
Homemaker	376J00000X	Primary

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