Individual
MRS. WYONA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6980 SAINT FRANCIS AVE, BATON ROUGE, LA 70811-1419
(228) 235-8879
Mailing address
6980 SAINT FRANCIS AVE, BATON ROUGE, LA 70811-1419
(225) 235-8879
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
LA
Enumeration date
10/13/2020
Last updated
07/06/2023
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