| NPI | 1043964836 |
|---|---|
| Doing Business As | SHAVONNE JORDAN |
| Entity Type | Organization |
| Authorized Contact | SHAVONNE JORDAN Cranial Prosthesis Specialist 216-322-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |