Individual
KAWANDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 PACIFIC PL APT 1014, FORT WORTH, TX 76112-3717
(601) 573-9270
Mailing address
7600 PACIFIC PL APT 1014, FORT WORTH, TX 76112-3717
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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