JORDAN KIMBERLY DESRUISSEAUX

PUNTA GORDA, FL
NPI1649537143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9106527)
Enumeration Date2012-04-20
Last Update Date2014-01-28
Business Address
Mrs. JORDAN KIMBERLY DESRUISSEAUX PA-C
809 E MARION AVE
PUNTA GORDA, FL 33950-3819
Phone number: 941-639-3131
Mailing Address
Mrs. JORDAN KIMBERLY DESRUISSEAUX PA-C
809 E MARION AVE
PUNTA GORDA, FL 33950-3819
Phone number: 941-637-2529
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