Individual
MOLLY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 E STATE ST APT 2, SAINT JOHNS, MI 48879-1684
(989) 534-4180
Mailing address
911 E STATE ST APT 2, SAINT JOHNS, MI 48879-1684
(989) 534-4180
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/07/2015
Last updated
06/07/2015
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