Individual
KANIYAH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7661 PENNSY PKWY APT 605, CUMBERLAND, IN 46229-5034
(317) 908-3384
Mailing address
7661 PENNSY PKWY APT 605, CUMBERLAND, IN 46229-5034
(317) 908-3384
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
25018916
IN
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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