Individual
GRETTA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N 5TH ST, IRONTON, OH 45638-1344
(740) 646-2509
Mailing address
PO BOX 569, IRONTON, OH 45638-0569
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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