Gordon, Mary N.

Gordon, Mary N. is an individual health care provider with primary practice located at 500 W. Hospital Rd. , French Camp CA 95231-9989. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Gordon, Mary N. can be contacted via phone (209) 468-6000.

Contact Information

Primary practice address
500 W. Hospital Rd. French Camp CA 95231-9989
Phone: (209) 468-6000
Fax: (209) 468-7042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 922442 California

Profile Details

NPI number 1275686495
LBN Legal business name Gordon, Mary N.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275686495 NPPES
California Other 922442 REGISTERED DIETICIAN NUMB

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