Individual
SHARON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 M 139, SAINT JOSEPH, MI 49085-8665
(269) 556-1526
Mailing address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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