Individual
MS. TONJA BENETTA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5850 SOUTH MAIN ST, LOS ANGELES, CA 90003
(323) 897-6079
(323) 238-0210
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6079
(323) 238-0210
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
593258
CA
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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