Individual
JENNIFER LUVENIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 SHADY MEADOW LN, GLENN HEIGHTS, TX 75154-7923
(972) 697-9713
Mailing address
701 SHADY MEADOW LN, GLENN HEIGHTS, TX 75154-7923
(972) 697-9713
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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