Individual provider · Type 1 NPI
Terry Gore, RN
Addiction (Substance Use Disorder) Registered Nurse · Tarzana, CA
NPI number
1679153159
Active
Practice location
18646 Oxnard St
Tarzana, CA 91356-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 95188180 (CA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1679153159
Terry Gore, RN's National Provider Identifier is 1679153159, issued on Apr 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Tarzana, CA. The record was last updated on Apr 9, 2021.