Individual
THERESA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1236 BENNING PL, PENSACOLA, FL 32506-1205
(813) 693-9099
Mailing address
13 ALAN ADALE, PENSACOLA, FL 32506-4136
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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