Individual
MS. KIMBRY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 BLUFFS TER, COLONIAL HEIGHTS, VA 23834-1823
(804) 929-9087
Mailing address
248 BLUFFS TER, COLONIAL HEIGHTS, VA 23834-1823
(804) 929-9087
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
T65470477
VA
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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