Individual
MARY A JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 E JORDAN ST, SHREVEPORT, LA 71101-5108
(318) 493-9017
Mailing address
3156 LAKESHORE DR, SHREVEPORT, LA 71109-2212
(318) 834-9858
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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