Individual
MARKITA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 TED LN, PURVIS, MS 39475-7800
(601) 402-6953
Mailing address
9 TED LN, PURVIS, MS 39475-7800
(601) 402-6953
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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