JORDAN LILJENQUIST

JONESBORO, AR
NPI1831772532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  136634)
Enumeration Date2021-04-30
Last Update Date2022-04-11
Business Address
JORDAN LILJENQUIST CRNA
4800 E JOHNSON AVE
JONESBORO, AR 72405-8413
Phone number: 208-312-2542
Mailing Address
JORDAN LILJENQUIST CRNA
2720 GREENSBORO RD
JONESBORO, AR 72405-8398
Phone number: 208-312-2542
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