person
Chanel Gordon
Prosthetics Case Management in Mesa, Arizona
NPI 1184267346

Chanel Gordon is a Prosthetics Case Management based in Mesa, AZ and is specialized in Prosthetics Case Management. Chanel Gordon practices in Mesa, AZ. The NPI Number for Chanel Gordon is 1184267346 and holds a License No. (Arizona).

The current practice location address for Chanel Gordon is 1731 W Baseline Rd Ste 107, Mesa, AZ and can be reached out via phone at 480-687-2336. You can also correspond with Chanel Gordon through the mailing address at 1731 W BASELINE RD STE 107, MESA, AZ - 85202-5730 (mailing address contact number: 513-828-5597).

Location: 1731 W Baseline Rd Ste 107, Mesa, AZ, 85202-5730
person
Provider Profile Details
NPI Number
1184267346
Provider Name
Chanel Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1731 W Baseline Rd Ste 107, Mesa, AZ, 85202-5730
Phone Number
480-687-2336
Fax Number
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1731 W Baseline Rd Ste 107
City
State
Zip
85202-5730
Phone Number
480-687-2336
Fax Number
person
Provider Business Mailing Address Details
Address
1731 W Baseline Rd Ste 107
City
State
Zip
85202-5730
Phone Number
480-687-2336
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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