Individual
TRENECIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1078 E WORTHY ST, GONZALES, LA 70737-4373
(504) 399-9851
Mailing address
1522 S FOURCHON AVE, GONZALES, LA 70737-6208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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