Misty Starlene Jordan

NPI #1376095976 in Dacula, Georgia

Provider Information

NPI Number
1376095976
Entity Type
Individual
Name
Misty Starlene Jordan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health Aide
Enumeration Date
Oct 29, 2016
Last Updated
Oct 29, 2016

Practice Location

Address
610 BALLYSHANNON DR
City
Dacula
State
Georgia
ZIP Code
30019-6529
Phone
(470) 429-8808

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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