Individual
ALICIA ANN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
558 E 107TH ST, CLEVELAND, OH 44108-1432
(216) 315-4108
Mailing address
558 E 107TH ST, CLEVELAND, OH 44108-1432
(216) 315-4108
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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