Individual
ALYSSA MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, CSIP
Contact information
Practice address
12615 E MISSION AVE, SUITE 400, SPOKANE VALLEY, WA 99216-1047
(509) 891-2368
Mailing address
6604 E 3RD AVE, SPOKANE VALLEY, WA 99212-0707
(509) 535-8272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023031
WA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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