Individual
JORDYN LEE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10916 62ND AVENUE CT E APT 17-202, PUYALLUP, WA 98373-5871
(253) 310-1095
Mailing address
10916 62ND AVENUE CT E APT 17-202, PUYALLUP, WA 98373-5871
(253) 310-1095
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN61158666
WA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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