Individual
MISS MARY ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20514 LINDEN BLVD, SUITE 204, SAINT ALBANS, NY 11412-2900
(718) 528-5493
Mailing address
10 JUANITA AVE, HUNTINGTON, NY 11743-5529
(347) 241-2002
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
607446
NY
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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