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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA MARIE GORDON

Active Sole Proprietor

TINA MARIE GORDON is a Adult Companion healthcare provider located in QUEEN CREEK, Arizona. NPI 1053021733 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · QUEEN CREEK, AZ

Registration Details

NPI Number
1053021733
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2022 (3.7380012243364 yrs)
Last Updated
Dec 2, 2022
Sole Proprietor
Yes

Practice Information

Address
4657 E ODESSA DR
QUEEN CREEK, AZ, 851404516
Browse AZ providers · Browse ZIP 85140
Phone
9513051462
Primary Specialty
Adult Companion
372600000X
Additional Specialty
Adult Companion
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.