Brenda Mae Jordan, LMP
Specialist in Tacoma, WA. Individual provider (NPI-1).
NPI number1235339136
StatusActive
Last updated in NPPESJul 19, 2007
Details
- NPI
- 1235339136
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenda Mae Jordan
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2007
- Last updated
- Jul 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ma00020952 | WA | Yes |
Practice location
6619 S Lawrence StTacoma, WA 98409-4012
Phone 253-678-1861
Mailing address
6619 S Lawrence StTacoma, WA 98409-4012
Phone 253-678-1861
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