Individual
CATHARINE IRENE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 814-2534
(626) 814-2591
Mailing address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 814-2534
(626) 814-2591
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
275042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275042
REGISTERED NURSE
CA
Enumeration date
06/07/2021
Last updated
06/07/2021
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