Individual
MRS. KATHLEEN P JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
806 BANNEKER DR, SAN DIEGO, CA 92114-4705
(619) 961-5210
Mailing address
806 BANNEKER DR, SAN DIEGO, CA 92114-4705
(619) 961-5210
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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