Individual
KAYLA JORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3186 SENECA TPKE, CANASTOTA, NY 13032-4634
(315) 920-9074
Mailing address
3186 SENECA TPKE, CANASTOTA, NY 13032-4634
(315) 920-9074
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
894525
NY
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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