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
State
Ohio
ZIP Code
44124-2252
Phone
(216) 801-5494

Specialties & Taxonomy Codes

Specialty
Homemaker

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