Mr. Tawan Jordan
Mr. Tawan Jordan is a Driver in Slidell, Louisiana. Licensed in Louisiana. Registered with an NPI since 2018.
- Licensed in
- LA
- In the registry since
- 2018
Practice location Address checks out
750 E I 10 Service Rd Ste GSlidell, LA 70461-5535
Phone: (504) 228-7853
Fax: (504) 326-6513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (LA) |
|---|
Record details
| NPI number | 1245718550 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 30, 2018 |
| Last updated in NPPES | July 30, 2018 |
| Mailing address | 1008 McCartney Ct, Slidell, LA 70461-4844 |
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