Individual
LEIGH ANNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 OKLAHOMA ST, HUNTINGTON, TX 75949-7594
(936) 635-3415
Mailing address
PO BOX 641, HUNTINGTON, TX 75949-0641
(936) 635-3415
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
174916
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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