Individual
MS. VERGENER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 E TEXAS ST LOT 14, BOSSIER CITY, LA 71111-6947
(318) 510-5233
Mailing address
5303 E TEXAS ST LOT 14, BOSSIER CITY, LA 71111-6947
(318) 510-5233
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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