Individual
JORDAN ALEXIS MAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4000
Mailing address
2244 FENTON PKWY APT 213, SAN DIEGO, CA 92108-4748
(814) 421-5938
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95157633
CA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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