Individual
STAR JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11587 HELEN DR, WARREN, MI 48093-7602
(248) 472-6222
Mailing address
11587 HELEN DR, WARREN, MI 48093-7602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703131646
MI
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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