Individual
MS. JACQUELINE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RICHMOND RD APT 313, EUCLID, OH 44143-1252
(216) 240-7575
Mailing address
842 S GREEN RD APT 5, SOUTH EUCLID, OH 44121-3461
(434) 386-7721
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
11/02/2023
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