Individual
JORDEN MORY VENTURINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1508 WENTWOOD DR, DESOTO, TX 75115-1278
(176) 069-1967
Mailing address
1508 WENTWOOD DR, DESOTO, TX 75115-1278
(760) 691-9678
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1127162
TX
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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