Individual
CANDICE PATRICE NICOLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
319 GENERAL SCREVEN WAY, SUITE D2 OFFICE 105, HINESVILLE, GA 31313
(912) 424-2219
Mailing address
PO BOX 1339, HINESVILLE, GA 31310-8339
(912) 424-2219
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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