Individual
A'DRIAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 4TH ST, JONESBORO, LA 71251-3346
(318) 259-1500
Mailing address
103 4TH ST, JONESBORO, LA 71251-3346
(318) 259-1500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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