JORDAN M DE LISLE

EVERETT, WA
NPI1881271286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  OP61570577)
Enumeration Date2021-03-24
Last Update Date2024-11-13
Business Address
JORDAN M DE LISLE
1321 COLBY AVE STE B400
EVERETT, WA 98201-1665
Phone number: 425-297-5234
Mailing Address
JORDAN M DE LISLE
1321 COLBY AVE STE B400
EVERETT, WA 98201-1665
Phone number: