Rose, Gwenivere Gordan

Rose, Gwenivere Gordan is an individual health care provider with primary practice located at Off Hwy 191 Hospital Road , Chinle AZ 86503. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Rose, Gwenivere Gordan can be contacted via phone (928) 674-7001.

Contact Information

Primary practice address
Off Hwy 191 Hospital Road Chinle AZ 86503
Phone: (928) 674-7001
Fax: (928) 674-7705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 805735 Illinois

Profile Details

NPI number 1972665081
LBN Legal business name Rose, Gwenivere Gordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
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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