Mary-Angela Jordan, DTR

NPI #1023884525 in Peoria, Arizona

Provider Information

NPI Number
1023884525
Entity Type
Individual
Name
Mary-Angela Jordan, DTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietetic Technician, Registered
Credential
DTR
Enumeration Date
Nov 27, 2023
Last Updated
Dec 3, 2023

Practice Location

Address
12112 W TETHER TRL
City
Peoria
State
Arizona
ZIP Code
85383-5872
Phone
(480) 267-8767

Specialties & Taxonomy Codes

Specialty
Dietetic Technician, Registered

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