SHAQUANDA SHANTIVUS GORDON

FAIRBURN, GA
NPI1891475430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  2023060174)
Enumeration Date2023-07-19
Last Update Date2023-07-19
Business Address
Miss SHAQUANDA SHANTIVUS GORDON PMHNP-BC
825 BELMAR PASS
FAIRBURN, GA 30213-4482
Phone number: 229-603-2601
Mailing Address
Miss SHAQUANDA SHANTIVUS GORDON PMHNP-BC
825 BELMAR PASS
FAIRBURN, GA 30213-4482
Phone number: 229-603-2601
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