Individual
JORDAN EMILE VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Mailing address
1077 TIMMY ST, VILLE PLATTE, LA 70586-7509
(337) 230-4919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156033
LA
Other
Enumeration date
07/20/2024
Last updated
12/10/2024
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