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Individual

ROSA GOODE-JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7807 VAUGHAN RD, NORTH DINWIDDIE, VA 23805-9787
(804) 272-6762
Mailing address
7506 MARBRETT DR APT 203, NORTH CHESTERFIELD, VA 23225-5014
(804) 272-6762

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
VA

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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