Individual
CURTIS O'NEAL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2267
Mailing address
861 HASKINS DR, SUFFOLK, VA 23434-2644
(757) 271-5772
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
69870
VA
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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