Individual
GLORISELIS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC
Contact information
Practice address
PR 2 KM 8.5, BO JUAN SANCHEZ, BAYAMON, PR 00960
(787) 532-7091
Mailing address
PO BOX 248, BAYAMON, PR 00960-0248
(787) 782-8250
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
956
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225C00000X
THIS NUMBER WAS REQUIRED FOR MY JOB.
PR
Enumeration date
04/30/2019
Last updated
04/30/2024
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