Individual
TIANA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 CONNECTICUT AVE, CINCINNATI, OH 45224-2397
(513) 549-2063
Mailing address
1932 CONNECTICUT AVE, CINCINNATI, OH 45224-2397
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602508171122
OH
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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