Individual
HEIDI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
975 S MONROE ST, MONROE, MI 48161-1477
(734) 242-4460
Mailing address
332 BAPTISTE AVE, MONROE, MI 48162-6705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006757
MI
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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