Individual
JENIFER VAN ORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REPT, CNIM
Contact information
Practice address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(734) 972-8903
Mailing address
987 E 5700 S, SALT LAKE CITY, UT 84121-1038
(734) 972-8903
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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