ELLA MAE GORDON

BOISE, ID
NPI1194093344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  IDAHONP-99)
Enumeration Date2011-12-02
Last Update Date2011-12-02
Business Address
Ms. ELLA MAE GORDON N.P.
450 WEST STATE STREET 4TH FLOOR
BOISE, ID 83720-0036
Phone number: 208-334-5616
Mailing Address
Ms. ELLA MAE GORDON N.P.
450 WEST STATE STREET 4TH FLOOR
BOISE, ID 83720-0036
Phone number: 208-334-5616