Individual
ELLA JOURDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 MARKIE DR, MANDEVILLE, LA 70471-6736
(985) 264-9787
Mailing address
520 MARKIE DR, MANDEVILLE, LA 70471-6736
(985) 264-9787
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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