Individual
MISS NYA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2304 TWIN LAKES DR APT 1A, YPSILANTI, MI 48197-1447
(313) 230-8596
Mailing address
2304 TWIN LAKES DR APT 1A, YPSILANTI, MI 48197-1447
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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