Individual
MRS. NATASHA NICOLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 GROUND DOVE CIR, LEHIGH ACRES, FL 33936-6931
(954) 647-3153
Mailing address
264 GROUND DOVE CIR, LEHIGH ACRES, FL 33936-6931
(954) 647-3153
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
246QL0900X
Laboratory Management Specialist/Technologist
—
—
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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