SAMANTHA SHYANNE GORDON CNA
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1003539792- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNA
- Status
- Active
Contact & Location
- Address
- 227235 TEAL AVE, WAUSAU, WI, 544012557
- Phone
- (630) 826-9753
Specialties & Taxonomies
Home Health Aide
Primary
All Addresses
MAILING
16192 COASTAL HWY
LEWES, DE, 199583608