Individual
MS. MELBA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10825 72ND AVE, APT 2K, FOREST HILLS, NY 11375-5368
(646) 243-7933
Mailing address
10825 72ND AVE, APT: 2K, FOREST HILLS, NY 11375-5368
(646) 243-7933
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22-494697
NY
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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