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Mr. Tawan Jordan
Driver in Slidell, Louisiana
NPI 1245718550

Tawan Jordan is a Driver based in Slidell, LA. Tawan Jordan practices in Slidell, LA. The NPI Number for Tawan Jordan is 1245718550 and holds a License No. (Louisiana).

The current practice location address for Tawan Jordan is 750 E I 10 Service Rd Ste G, Slidell, LA and can be reached out via phone at 504-228-7853 and via fax at 504-326-6513.

Location: 750 E I 10 Service Rd Ste G, Slidell, LA, 70461-4844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245718550
Provider Name
Tawan Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 E I 10 Service Rd Ste G, Slidell, LA, 70461-4844
Phone Number
504-228-7853
Fax Number
504-326-6513
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E I 10 Service Rd Ste G
City
Slidell
State
Louisiana
Zip
70461-5535
Phone Number
504-228-7853
Fax Number
504-326-6513
person
Provider Business Mailing Address Details
Address
750 E I 10 Service Rd Ste G
City
Slidell
State
Louisiana
Zip
70461-5535
Phone Number
504-228-7853
Fax Number
504-326-6513
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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