Individual
ANGELA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 SUGARCAMP RD, BIG BEND, WV 26136-8147
(304) 519-9029
Mailing address
287 SUGARCAMP RD, BIG BEND, WV 26136-8147
(304) 519-9029
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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