Individual
MRS. KRISTA M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5955 ZEAMER AVENUE, 3RD MDG/WIC OFFICE, ELMENDORF AFB, AK 99506
(907) 580-3205
Mailing address
5955 ZEAMER AVENUE, 3RD MDG/WIC OFFICE, ELMENDORF AFB, AK 99506
(907) 580-3205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
130
AK
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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