JORDAN WALLER

PUEBLO, CO
NPI1083220081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CO  RN.1649284)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2020-09-16
Last Update Date2020-09-16
Business Address
JORDAN WALLER
1 WELLNESS WAY
PUEBLO, CO 81006-2103
Phone number: 719-545-2746
Mailing Address
JORDAN WALLER
41 MONTEBELLO RD STE 204
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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