Individual
QUANELLA A JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SINGLETREE DR, DOUGLASVILLE, GA 30135-8241
(770) 946-1373
Mailing address
4300 SINGLETREE DR, DOUGLASVILLE, GA 30135-8241
(770) 946-1373
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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