Individual
BETTY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSING AS
Contact information
Practice address
4102 CLIFF DR, EVERETT, WA 98203-1835
(425) 246-3972
(425) 903-4727
Mailing address
4102 CLIFF DR, EVERETT, WA 98203-1835
(425) 246-3972
(425) 903-4727
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
NC60985625
WA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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