Individual
BONNIE JEAN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1420 N JEFFERSON ST, SPOKANE, WA 99201-2607
(509) 326-9107
Mailing address
1420 N JEFFERSON ST, SPOKANE, WA 99201-2607
(509) 326-9107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006150
WA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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