TEVIS JEROME GORDON-CRAWFORD

CLEVELAND, OH
NPI1720551724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.023686)
Enumeration Date2019-01-02
Last Update Date2020-07-31
Business Address
TEVIS JEROME GORDON-CRAWFORD NP
12100 SUPERIOR AVE
CLEVELAND, OH 44106-1444
Phone number: 216-851-7141
Mailing Address
TEVIS JEROME GORDON-CRAWFORD NP
9802 SANDUSKY AVE
CLEVELAND, OH 44105-2367
Phone number: