Individual
ASHLEY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
11415 APPLETON, REDFORD, MI 48239-1443
(313) 522-5321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113259
MI
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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