Individual
DEANNA THALIA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1134 SHERMAN AVE NW, NEW PHILADELPHIA, OH 44663-1068
(330) 880-7311
Mailing address
1134 SHERMAN AVE NW, NEW PHILADELPHIA, OH 44663-1068
(330) 880-7311
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/28/2022
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