Individual
KEISHA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8318 JONES MALTSBERGER RD STE 121, SAN ANTONIO, TX 78216-6552
(210) 348-7529
Mailing address
8318 JONES MALTSBERGER RD STE 121, SAN ANTONIO, TX 78216-6552
(210) 348-7529
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211127
TX
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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