Jordan Richards-Roe

NPI 1043810914 · on the registry since 2020 · sole proprietor

Practice

Address: 8659 Columbus Pike
Lewis Center, OH 43035
Phone: (740) 657-8101
Fax: (740) 657-1372
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Dr. Maria J. Fragoulis, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio