Individual
JORDAN ALKHALIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6050 KINMORE ST, DEARBORN HEIGHTS, MI 48127-3211
(313) 828-2430
Mailing address
6174 MAYBURN ST, DEARBORN HEIGHTS, MI 48127-3211
(313) 828-2430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704312353
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704312353
MI
Other
Enumeration date
08/10/2020
Last updated
08/04/2023
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