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Tierra Gordon

NPI 1952068470 · on the registry since 2021 · sole proprietor

Practice

Address
25571 Chatworth Dr
Euclid, OH 44117
Phone
(216) 925-2212

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-18

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