Gordon, Ronell Lawrence

Gordon, Ronell Lawrence is an individual health care provider with primary practice located at 500 Jefferson Blvd Bldg B , West Sacramento CA 95605-2350. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Gordon, Ronell Lawrence can be contacted via phone (530) 314-7559.

Contact Information

Primary practice address
500 Jefferson Blvd Bldg B West Sacramento CA 95605-2350
Phone: (530) 314-7559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1528884244
LBN Legal business name Gordon, Ronell Lawrence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2024
Last updated Nov 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers