Individual
DR. JUDY L JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4901 WAIAKALUA, KILAUEA, HI 96754-0730
(808) 828-1645
Mailing address
PO BOX 730, 4901 WAIAKALUA ST, KILAUEA, HI 96754-0730
(808) 828-1645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD5440
HI
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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