Individual
SHONDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 INDIAN TRACE CIR, APT 203, WEST PALM BEACH, FL 33407-1146
(561) 840-6808
Mailing address
1004 INDIAN TRACE CIR, APT 203, WEST PALM BEACH, FL 33407-1146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1298901
FL
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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