Individual
MS. LEANA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN773622
Contact information
Practice address
1901 CLEVELAND AVE STE B, SANTA ROSA, CA 95401-4298
(707) 576-0818
(707) 576-7845
Mailing address
1901 CLEVELAND AVE STE B, SANTA ROSA, CA 95401-4298
(707) 576-0818
(707) 576-7845
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN773622
CA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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