Individual
TIFFANY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
2525 FRANKSWAY ST, COLUMBUS, OH 43232-4204
(614) 680-6057
Mailing address
2358 GRASMERE AVE, COLUMBUS, OH 43211-2058
(614) 680-6057
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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