Jordan Love
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1265800981
StatusActive
Last updated in NPPESSep 11, 2015
Details
- NPI
- 1265800981
- Entity type
- Individual (NPI-1)
- Name
- Jordan Love
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2015
- Last updated
- Sep 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
6497 Brookhills Ct SeGrand Rapids, MI 49546-7280
Phone 616-949-6522
Mailing address
6497 Brookhills Ct SeGrand Rapids, MI 49546-7280
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