Individual
VALERIE D JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 16TH ST N, ST PETERSBURG, FL 33704-1835
(727) 723-4823
Mailing address
3400 16TH ST N, ST PETERSBURG, FL 33704-1835
(727) 723-4823
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907063
FL
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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