Individual
SHAUN MICHELLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3633 MARTIN LUTHER KING JR BLVD STE 3, LYNWOOD, CA 90262-3510
(310) 763-3075
(310) 763-3084
Mailing address
19437 TAJAUTA AVE, CARSON, CA 90746-2748
(310) 638-1287
(310) 763-3084
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN417181
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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