Mr. Derrick Gordon II
Mr. Derrick Gordon II is a Personal Care Attendant in Canton, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2024
Practice location Address checks out
2401 Fletcher Ave NECanton, OH 44705-4625
Phone: (330) 268-6592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence TH945069 (OH) |
|---|
Record details
| NPI number | 1356191449 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | March 25, 2024 |
| Certification date | March 22, 2024 |
| Mailing address | 2401 Fletcher Ave Ne, Canton, OH 44705-4625 |
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