Taylor Jordan
Taylor Jordan is an Other Technician in East Grand Rapids, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2814 Woodcliff Cir SEEast Grand Rapids, MI 49506-3155
Phone: (855) 832-6727
Fax: (772) 675-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1275165771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 12, 2020 |
| Last updated in NPPES | February 12, 2020 |
| Certification date | February 12, 2020 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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Lydia Charlene Wollak
2814 Woodcliff Cir SE, East Grand Rapids, MI 49506-3155 · (855) 832-6727