MR. Jorden Deneil Blakely, OWNER
NPI #1568171833 in Mayfield Heights, Ohio
Provider Information
- NPI Number
- 1568171833
- Entity Type
- Individual
- Name
- MR. Jorden Deneil Blakely, OWNER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Credential
- OWNER
- Enumeration Date
- Nov 16, 2022
- Last Updated
- Apr 8, 2025
Practice Location
- Address
- 6805 MAYFIELD RD APT 606
- City
- Mayfield Heights
- State
- Ohio
- ZIP Code
- 44124-2252
- Phone
- (216) 801-5494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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