CARLA FAE JORDAN

LA CROSSE, WI
NPI1508983735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: WI  138548030)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- CARLA FAE JORDAN RN
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-6212
Mailing Address
-- CARLA FAE JORDAN RN
2830 WARD AVE
LA CROSSE, WI 54601-7426
Phone number: