Individual
JORDAN ISLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 RIO GRANDE CIR SE, MASSILLON, OH 44646-7479
(234) 863-2063
Mailing address
2310 RIO GRANDE CIR SE, MASSILLON, OH 44646-7479
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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