Individual
MS. PEARLINE P JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 CONCOURSE VLG W, APT 19B, BRONX, NY 10451-3805
(718) 538-3288
Mailing address
780 CONCOURSE VLG W, APT 19B, BRONX, NY 10451-3805
(718) 538-3288
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
46161
NY
133N00000X
Nutritionist
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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