Individual
JORDAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4682 AIRPORT BLVD, MOBILE, AL 36608-3124
(251) 455-4702
Mailing address
106 GOLMON CIR, DAPHNE, AL 36526-7050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2141
AL
Other
Enumeration date
07/26/2021
Last updated
10/22/2024
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