Individual
VICTORIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 S MAIN ST APT 312, NEWARK, DE 19711-4556
(443) 835-5628
Mailing address
264 S MAIN ST APT 312, NEWARK, DE 19711-4556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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