Individual
ANNIKA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5823 6TH AVE, KENOSHA, WI 53140-4105
(262) 237-5345
Mailing address
4718 5TH AVE, KENOSHA, WI 53140-2923
(262) 237-5345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6227-12
WI
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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