MR. Walter Jerome Jordan

NPI #1447733712 in St Petersburg, Florida

Provider Information

NPI Number
1447733712
Entity Type
Individual
Name
MR. Walter Jerome Jordan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Sep 12, 2018
Last Updated
Sep 12, 2018

Practice Location

Address
600 40TH ST N APT 111
State
Florida
ZIP Code
33713-6339
Phone
(727) 657-8392

Specialties & Taxonomy Codes

Specialty
Home Health

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