LARRY J JORDAN

BURIEN, WA
NPI1558127928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: WA  LP.61501117)
Enumeration Date2024-02-23
Last Update Date2024-02-26
Business Address
LARRY J JORDAN LPN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 650-283-1592
Mailing Address
LARRY J JORDAN LPN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 650-283-1592
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