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Roeshelle Jordan
Driver in College Station, Texas
NPI 1972041101

Roeshelle Jordan is a Driver based in College Station, TX. Roeshelle Jordan practices in College Station, TX. The NPI Number for Roeshelle Jordan is 1972041101 and holds a License No. 06048240 (Texas).

The current practice location address for Roeshelle Jordan is 13981 Renee Ln, College Station, TX and can be reached out via phone at 979-492-2784.

Location: 13981 Renee Ln, College Station, TX, 77845-8119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972041101
Provider Name
Roeshelle Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
13981 Renee Ln, College Station, TX, 77845-8119
Phone Number
979-492-2784
Fax Number
Provider Enumeration Date
02/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13981 Renee Ln
City
College Station
State
Texas
Zip
77845-8119
Phone Number
979-492-2784
Fax Number
person
Provider Business Mailing Address Details
Address
13981 Renee Ln
City
College Station
State
Texas
Zip
77845-8119
Phone Number
979-492-2784
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
06048240 (Texas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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