Individual
MELISSA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14429 W CAMERON DR, SURPRISE, AZ 85379-4419
(480) 286-3871
Mailing address
14429 W CAMERON DR, SURPRISE, AZ 85379-4419
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4802863871
PHONE NUMBER
—
Enumeration date
06/08/2021
Last updated
06/08/2021
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