Ryecobie Brooks-Gordon

NPI 1427452044 · on the registry since 2014 · sole proprietor

Practice

Address: 21633 Avenue 24
Chowchilla, CA 93610
Phone: (559) 665-6100
Organisation at this address: State Of California
Corrections And Rehabilitation-Headquarters
California Department Of Corrections &Rehabilitation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Additional practice sites

1606 E Griffith Way, Fresno, CA
572 N Arrowhead Ave, San Bernardino, CA
12968 Frederick St Ste A, Moreno Valley, CA
4721 W Jennifer Ave Ste 3, Fresno, CA

Registry record

Primary taxonomy: 103T00000X
103T00000X
Also registered as: 101YM0800X
103T00000X
103TC0700X
103TC0700X
261QM0801X
Licence states on file: CA, TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-21

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 California