TAKENYA LACOLE JORDAN

ALBANY, GA
NPI1851908016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist Prosthetics Case Management
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
TAKENYA LACOLE JORDAN
2231 DAWSON RD STE IJ
ALBANY, GA 31707-3227
Phone number: 229-938-2083
Mailing Address
TAKENYA LACOLE JORDAN
2231 DAWSON RD STE IJ
ALBANY, GA 31707-3227
Phone number: 229-938-2083