Individual
RAMEKIA N JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 LINCOLN DR, TENNILLE, GA 31089-1442
(478) 232-3039
Mailing address
213 LINCOLN DR, TENNILLE, GA 31089-1442
(478) 232-3039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072321
GA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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