Individual
MR. JORDAN GARRETT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 SAINT BERNARD AVE STE B, NEW ORLEANS, LA 70116-1329
(504) 603-2389
(504) 609-3366
Mailing address
22 KRISTEN CT, NEW ORLEANS, LA 70128-1170
(504) 245-7525
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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