NPI 1053021733

Tina Marie Gordon

Practitioner Adult Companion Queen Creek, AZ

Practice location

Address: 4657 E Odessa Dr, Queen Creek, AZ 85140-4516
Phone: (951) 305-1462

Registered specialties (2)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1053021733
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2022
Record last updated: 2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.