Individual
LORI D. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
329 GAMARRA RD, PENSACOLA, FL 32503
(850) 723-7556
Mailing address
329 GAMARRA RD, PENSACOLA, FL 32503
(850) 723-7556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA43757
FL
225700000X
Massage Therapist
MM21516
FL
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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