Molly Jordan

NPI #1164802906 in Saint Johns, Michigan

Provider Information

NPI Number: 1164802906
Entity Type: Individual
Name: Molly Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 7, 2015
Last Updated: Jun 7, 2015

Practice Location

Address: 911 E STATE ST APT 2
City: Saint Johns
State: Michigan
ZIP Code: 48879-1684
Phone: (989) 534-4180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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