KEVIN DARELLE GORDON

SACRAMENTO, CA
NPI1942895925
Professional NameKEVIN DARELLE GORDON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95015623)
Enumeration Date2021-03-02
Last Update Date2021-03-02
Business Address
Mr. KEVIN DARELLE GORDON NP
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827-2506
Phone number: 916-448-1770
Mailing Address
Mr. KEVIN DARELLE GORDON NP
9554 TARBERT DR
ELK GROVE, CA 95758-4478
Phone number: 404-384-0439
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