Individual
MRS. KIM H JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 CANTERBURY LN, COLONIAL HEIGHTS, VA 23834-2711
(804) 855-9503
Mailing address
1305 CANTERBURY LN, COLONIAL HEIGHTS, VA 23834-2711
(804) 855-9503
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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