Individual
DR. KRISTINA RUTH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5323 N MAIN ST., MISHAWAKA, IN 46545
(574) 273-2727
(574) 273-2726
Mailing address
5323 N MAIN ST., MISHAWAKA, IN 46545
(574) 273-2727
(574) 273-2726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003396A
IN
152W00000X
Optometrist
4901004328
MI
Other
Enumeration date
07/14/2006
Last updated
09/03/2019
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