Individual
FRANCIS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SE 908TH ST, OLD TOWN, FL 32680-4386
(352) 356-0724
Mailing address
123 SE 908TH ST, OLD TOWN, FL 32680-4386
(352) 356-0724
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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