JORDAN NICOLE SURRUSCO

SEATTLE, WA
NPI1851821896
Former NameJORDAN NICOLE CONNELLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60883471)
Enumeration Date2017-06-13
Last Update Date2023-06-13
Business Address
JORDAN NICOLE SURRUSCO PA
1959 NE PACIFIC ST
SEATTLE, WA 98195-3003
Phone number: 206-598-4300
Mailing Address
JORDAN NICOLE SURRUSCO PA
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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