Individual
MRS. ROSEANNE MARIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
5038 CHALET DR, OCEANSIDE, CA 92057-6927
(760) 643-1652
Mailing address
5038 CHALET DR, OCEANSIDE, CA 92057-6927
(760) 643-1652
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
423595
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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