MR. TAWAN JORDAN

Driver

Active Individual
NPI: 1245718550

Practice Address

750 E I 10 SERVICE RD STE G
Slidell, LA 70461

Phone: (504) 228-7853

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1245718550 is the National Provider Identifier for MR. TAWAN JORDAN, a Driver provider located in Slidell, LA. This NPI was enumerated on July 30, 2018.
MR. TAWAN JORDAN practices at 750 E I 10 SERVICE RD STE G, Slidell, LA 70461.

Quick Facts

NPI
1245718550
Type
Individual
Enumerated
Jul 30, 2018
Last Updated
Jul 30, 2018

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