Individual
JORDAN WALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(800) 360-8387
Mailing address
302 S HIGH ST, HARTFORD CITY, IN 47348-2528
(765) 499-1245
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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