Jeremy Elijah Gordon Valid NPI

Individual provider · Case Manager/Care Coordinator · Grove, OK

NPI

1417490343

Type

Individual (Type 1)

Primary specialty

Case Manager/Care Coordinator

Specialty group

Other Service Providers

Taxonomy code

171M00000X

Sex

Male

Sole proprietor

No

Enumerated

2016-11-25

Last updated

2017-01-30