Individual
BARBARA JEAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
640 N LINCOLN AVE, ALLIANCE, OH 44601-1640
(330) 268-3344
Mailing address
3805 RAVENNA AVE, LOUISVILLE, OH 44641-8922
(330) 418-8992
(330) 875-3226
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
400702591207
OH
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2828784
—
OH
Enumeration date
09/10/2020
Last updated
09/10/2020
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