MS. Gwenivere Gordan Rose

NPI #1972665081 in Chinle, Arizona

Provider Information

NPI Number: 1972665081
Entity Type: Individual
Name: MS. Gwenivere Gordan Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Dec 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: OFF HWY 191 HOSPITAL ROAD
City: Chinle
State: Arizona
ZIP Code: 86503
Phone: (928) 674-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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