Individual
MS. WENDY SUE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 JORDAN LN, TURNER, ME 04282-4300
(207) 440-4537
Mailing address
75 JORDAN LANE, TURNER, ME 04282
(207) 440-4537
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT4948
ME
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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