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Deborah Michelle Jordan
Private Vehicle in Gretna, Virginia
NPI 1205337359

Deborah Michelle Jordan is a Private Vehicle based in Gretna, VA. Deborah Michelle Jordan practices in Gretna, VA. The NPI Number for Deborah Michelle Jordan is 1205337359 and holds a License No. T60209323 (Virginia).

The current practice location address for Deborah Michelle Jordan is 2533 Cotton Patch Rd, Gretna, VA and can be reached out via phone at 434-429-5699.

Location: 2533 Cotton Patch Rd, Gretna, VA, 24557-2496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205337359
Provider Name
Deborah Michelle Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2533 Cotton Patch Rd, Gretna, VA, 24557-2496
Phone Number
434-429-5699
Fax Number
Provider Enumeration Date
02/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2533 Cotton Patch Rd
City
Gretna
State
Virginia
Zip
24557-2496
Phone Number
434-429-5699
Fax Number
person
Provider Business Mailing Address Details
Address
2533 Cotton Patch Rd
City
Gretna
State
Virginia
Zip
24557-2496
Phone Number
434-429-5699
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
T60209323 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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