Individual
JOAN RICHARDS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 159 LEXINGTON AVENUE, DAYTON, OH 45402
(443) 845-1961
Mailing address
12908 CROSSFIELD DR, BELTSVILLE, MD 20705-6334
(443) 845-1961
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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