Individual
MR. RENWICK LEE JORDAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6980 SAINT FRANCIS AVE, BATON ROUGE, LA 70811-1419
(225) 235-8879
Mailing address
6980 SAINT FRANCIS AVE, BATON ROUGE, LA 70811-1419
(225) 235-8879
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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