DESIREE JORDAN

MACON, GA
NPI1740093244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: GA  coa010392)
Enumeration Date2025-01-29
Last Update Date2025-01-29
Business Address
DESIREE JORDAN
3872 PIO NONO AVE
MACON, GA 31206-3042
Phone number: 478-219-0968
Mailing Address
DESIREE JORDAN
3900 NORTHSIDE DR, MACON, GA 31210, USA D15
MACON, GA 31210
Phone number: 478-219-0968
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