Individual
CHARONDA KAYE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 S 79TH EAST AVE # 100, TULSA, OK 74145-3218
(918) 630-5746
Mailing address
3803 S 79TH EAST AVE # 100, TULSA, OK 74145-3218
(918) 630-5746
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
37P026710818
OK
Other
Enumeration date
11/18/2019
Last updated
05/24/2021
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