Individual
DWAIMEON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5317 ANHINGA TRL, NEW PORT RICHEY, FL 34653-7032
(727) 557-5995
Mailing address
5317 ANHINGA TRL, NEW PORT RICHEY, FL 34653-7032
(727) 557-5995
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
11/06/2019
Last updated
10/01/2021
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