Mary N. Gordon is a Nutritionist in Stockton, California. Mary N. Gordon practices all healthcare services and medical treatments related to Nutritionist. The NPI Number for Mary N. Gordon is 1275686495. The last update date is 2007-07-08.
Mary N. Gordon's current location address is Po Box 1020, Stockton, California. You can contact this provider via phone number 2094686000 and fax number 2094687042. The mailing address for Mary N. Gordon is Po Box 1020, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary N. Gordon |
|---|---|
| Address | Po Box 1020, Stockton, California |
| Phone Number | 2094686000 |
| Fax Number | 2094687042 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275686495 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1020 |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952013120 |
| Phone Number | 2094686000 |
| Fax Number | 2094687042 |
Provider's Primary Taxonomy Detail
| Speciality | Nutritionist |
|---|---|
| Taxonomy | 133N00000X |
| Licence No | 922442 |
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Definition: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 922442 | CA | REGISTERED DIETICIAN NUMB |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary N. Gordon by the Centers for Medicare & Medicaid Services?
The Mary N. Gordon has been issued the NPI (National Provider Identifier) 1275686495 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary N. Gordon is geographically located?
The Mary N. Gordon is physically situated at the following location: Po Box 1020, Stockton, CA, 952013120.
What is Mary N. Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary N. Gordon's specialized field of practice is Nutritionist, and the corresponding taxonomy code that categorizes this area of specialization is 133N00000X.
On what date did the Mary N. Gordon receive the assignment of its 1275686495 from the Centers for Medicare & Medicaid Services?
The Mary N. Gordon was issued its 1275686495 by the Centers for Medicare & Medicaid Services on 2007-01-19.
When was the information regarding Mary N. Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary N. Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.