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Mrs. Teaghan Michelle Lattanze Gordon
Student in an Organized Health Care Education/Training Program in Manassas, Virginia
NPI 1831785476

Teaghan Michelle Lattanze Gordon is a Student in an Organized Health Care Education/Training Program based in Manassas, VA. Teaghan Michelle Lattanze Gordon practices in Manassas, VA. The NPI Number for Teaghan Michelle Lattanze Gordon is 1831785476 and holds a License No. (Virginia).

The current practice location address for Teaghan Michelle Lattanze Gordon is 9009 Church St Apt 105, Manassas, VA and can be reached out via phone at 540-359-1772.

Location: 9009 Church St Apt 105, Manassas, VA, 20110-5473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831785476
Provider Name
Teaghan Michelle Lattanze Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
9009 Church St Apt 105, Manassas, VA, 20110-5473
Phone Number
540-359-1772
Fax Number
Provider Enumeration Date
12/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9009 Church St Apt 105
City
Manassas
State
Virginia
Zip
20110-5473
Phone Number
540-359-1772
Fax Number
person
Provider Business Mailing Address Details
Address
9009 Church St Apt 105
City
Manassas
State
Virginia
Zip
20110-5473
Phone Number
540-359-1772
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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