DORETT BEVERLY GORDON

BRONX, NY
NPI1457598484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  294307-1)
Enumeration Date2009-01-13
Last Update Date2010-11-29
Business Address
-- DORETT BEVERLY GORDON
50 W GUN HILL RD APT 4G
BRONX, NY 10467-1016
Phone number: 561-568-8687
Mailing Address
-- DORETT BEVERLY GORDON
PO BOX 1011
BRONX, NY 10467-0726
Phone number: 561-568-8687