Individual provider · Type 1 NPI

Teaghan Michelle Lattanze Gordon

Student in an Organized Health Care Education/Training Program · Manassas, VA

NPI number 1831785476 Active

Practice location

9009 Church St Apt 105
Manassas, VA 20110-5473

Call (540) 359-1772 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831785476

Teaghan Michelle Lattanze Gordon's National Provider Identifier is 1831785476, issued on Dec 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manassas, VA. The record was last updated on Dec 17, 2020.