JORDAN JEFFREY GOLD

CHARLESTON, WV
NPI1982395745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  116154)
Enumeration Date2023-05-15
Last Update Date2023-07-24
Business Address
JORDAN JEFFREY GOLD CRNA
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-647-6006
Mailing Address
JORDAN JEFFREY GOLD CRNA
400 ASSOCIATION DR STE 102
CHARLESTON, WV 25311-1298
Phone number: 304-388-1724