Individual
MRS. STEPHANIE LYNN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 W WARREN CIR APT 1205, LAKEWOOD, CO 80227-2695
(813) 580-4651
Mailing address
7410 W WARREN CIR APT 1205, LAKEWOOD, CO 80227-2695
(813) 580-4651
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CO
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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