Individual
JORDAN GIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6312 CALIFORNIA AVE SW APT 210, SEATTLE, WA 98136-1800
(440) 725-7259
Mailing address
6312 CALIFORNIA AVE SW APT 210, SEATTLE, WA 98136-1800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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