Chanel Gordon
Chanel Gordon is a Prosthetics Case Management in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1731 W Baseline Rd Ste 107Mesa, AZ 85202-5730
Phone: (480) 687-2336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|
Record details
| NPI number | 1184267346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2019 |
| Last updated in NPPES | October 21, 2019 |
| Mailing address | 1731 W Baseline Rd Ste 107, Mesa, AZ 85202-5730 |
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