Individual
AKKARA OPHELIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 272-3073
Mailing address
3039 GADWALL LN, YPSILANTI, MI 48197-8731
(734) 352-0305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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