Individual
JORDAN SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 ESTHER AVE NE, CANTON, OH 44714-2338
(330) 639-9035
Mailing address
1642 ESTHER AVE NE, CANTON, OH 44714-2338
(330) 639-9035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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