BENNIE GORDON JR.

Licensed Vocational Nurse

Active Individual
NPI: 1104097823

Practice Address

400 N PEPPER AVE
Colton, CA 92324

Phone: (909) 580-1800

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 176537 (CA)

Frequently Asked Questions

NPI 1104097823 is the National Provider Identifier for BENNIE GORDON JR., a Licensed Vocational Nurse provider located in Colton, CA. This NPI was enumerated on March 20, 2008.
BENNIE GORDON JR. practices at 400 N PEPPER AVE, Colton, CA 92324.

Quick Facts

NPI
1104097823
Type
Individual
Enumerated
Mar 20, 2008
Last Updated
Mar 20, 2008

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