Individual
JORDAN L ROWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
4804 86TH AVE NW, GIG HARBOR, WA 98335-6144
(253) 509-4853
Mailing address
4804 86TH AVE NW, GIG HARBOR, WA 98335-6144
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
591605-10
WA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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