Individual
CONSTANCE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 TUDOR ST, PHILADELPHIA, PA 19136-3812
(215) 338-2002
Mailing address
3433 TUDOR ST, PHILADELPHIA, PA 19136-3812
(215) 338-2002
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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