Individual
DEZARE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1501 MADISON RD, CINCINNATI, OH 45206
(513) 354-5200
Mailing address
1501 MADISON RD., CINCINNATI, OH 45206
(513) 354-5200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/06/2022
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