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Individual

CANDICE DIOR JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(855) 633-5655
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D81139
MD

Other

Enumeration date
03/23/2012
Last updated
07/11/2016
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