JORDAN GARY JOHNSON

CINCINNATI, OH
NPI1114706587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
JORDAN GARY JOHNSON
1435 VINE ST
CINCINNATI, OH 45202-7094
Phone number: 618-203-4368
Mailing Address
JORDAN GARY JOHNSON
1435 VINE ST
CINCINNATI, OH 45202-7094
Phone number: 618-203-4368