Individual
JORDAN CHRISTOPHER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 E ACADEMY AVE, JENNINGS, LA 70546-5331
(337) 824-1255
Mailing address
603 ROBERTS AVE, JENNINGS, LA 70546-4445
(337) 789-5651
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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