SearchMaryland106S00000X

Jesalyn Gordon

NPI 1023825262 · on the registry since 2024

Practice

Address
2905 Louisiana Ave
Halethorpe, MD 21227
Phone
(443) 262-1217

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland