Individual
JASMINE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7005 HAGUE AVE, CLEVELAND, OH 44102-4324
(216) 712-3574
Mailing address
7005 HAGUE AVE, CLEVELAND, OH 44102-4324
(216) 712-3574
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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