person
Eriko Mito Gordon, STUDENT
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1053098756

Eriko Mito Gordon is a Student in an Organized Health Care Education/Training Program based in Maryville, CA. Eriko Mito Gordon practices in Los Angeles, CA and has the professional credentials of STUDENT. The NPI Number for Eriko Mito Gordon is 1053098756 and holds a License No. (California).

The current practice location address for Eriko Mito Gordon is 714 Tiverton Ave, Los Angeles, CA and can be reached out via phone at 865-206-5032.

Location: 714 Tiverton Ave, Los Angeles, CA, 37803
person
Provider Profile Details
NPI Number
1053098756
Provider Name
Eriko Mito Gordon
Credential
STUDENT
Provider Entity Type
Individual
Gender
Female
Address
714 Tiverton Ave, Los Angeles, CA, 37803
Phone Number
865-206-5032
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
714 Tiverton Ave
City
State
Zip
90095-8361
Phone Number
865-206-5032
Fax Number
person
Provider Business Mailing Address Details
Address
714 Tiverton Ave
City
State
Zip
90095-8361
Phone Number
865-206-5032
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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