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Individual

LISA JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC., EAMP

Contact information

Practice address
101 COTTAGE AVE STE K, CASHMERE, WA 98815
(509) 423-7095
Mailing address
9201 NAHAHUM CANYON RD, CASHMERE, WA 98815-9729
(425) 467-9377

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60726288
WA
174400000X
Specialist
MA00009146
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902966732
ACUPUNCTURE
WA
Enumeration date
12/11/2006
Last updated
02/27/2019
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