Individual
LATAYA C JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 375-7993
Mailing address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 375-7993
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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