| Bennie Gordon Jr, | |
|
400 N Pepper Ave, Colton, CA 92324-1801 | |
| (909) 580-1800 | |
| Not Available |
| Full Name | Bennie Gordon Jr |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 400 N Pepper Ave, Colton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104097823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 176537 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bennie Gordon Jr, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1800 | Bennie Gordon Jr, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1800 |
Tatanasha Y Coleman, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Ellen Rutebuka, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Maria Romo, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Mrs. Leeann Armendariz, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 23950 Prado Ln, Colton, CA 92324 Phone: 909-514-1958 | |
Lordina Frimpong, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165 | |
Tricia Lynn Allen, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 |