Individual
MARQUETTA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1112 SILVER MEADOWS BLVD, KENT, OH 44240-1850
(330) 541-3245
Mailing address
1112 SILVER MEADOWS BLVD, KENT, OH 44240-1850
(330) 541-3245
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402221941119
OH
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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