Clara Gordon RD

NPI 1538436670 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1538436670
Gender Female
Enumeration Date 11/17/2011
Last Updated 09/14/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
31 EASTER AVENUE
WEAVERVILLE CA, 96093, US
Phone (530) 623-4186
Fax (530) 623-4397
Business Location
73D WINTHROP AVE
LAWRENCE MA, 01843-3716, US
Phone (978) 686-3017
Fax (978) 685-4280
Toxanomy
Taxonomy Code 133V00000X
License State Massachusetts
License Number 1102870
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According to our database, Clara Gordon RD NPI is 1538436670, taxonomy code is 133V00000X and license number is 1102870, license state is located at Massachusetts. Clara Gordon RD physically located at 31 Easter Avenue, Weaverville CA, 96093. NPI Number Clara Gordon RD has the Individual type.

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1538436670 NPI number is provided on an as is basis without warranty of any kind. 1538436670 is maintained by the National Plan & Provider Enumeration System. The contents of Clara Gordon RD are for informational purposes only.