Individual
DEVANN ELAINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3488 GARDEN AVE, ANDERSON HALL MIF 4 FORT SAM HOUSTON, SAN ANTONIO, TX 78109
(269) 240-4244
Mailing address
31ST MDG/SGST UNIT 6180, APO, AE 09604-6180
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
02/24/2026
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