Individual
MS. CARLLISA ROSHEA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5234 RED HILL DR, INDIAN HEAD, MD 20640-3401
(301) 752-5852
Mailing address
5234 RED HILL DR, INDIAN HEAD, MD 20640-3401
(301) 752-5852
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
DC
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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