Individual
MRS. JORDANA LOUISE CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 S 11TH ST, WILMINGTON, NC 28401-5901
(910) 616-8278
Mailing address
913 S 11TH ST, WILMINGTON, NC 28401-5901
(910) 616-8278
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
20946374
NC
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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