JORDAN SOUTHERN

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1558089300

Practice Address

135 W MAIN ST
Chehalis, WA 98532

Phone: (360) 748-4339

Frequently Asked Questions

NPI 1558089300 is the National Provider Identifier for JORDAN SOUTHERN, a Student in an Organized Health Care Education/Training Program provider located in Chehalis, WA. This NPI was enumerated on August 18, 2022.
JORDAN SOUTHERN practices at 135 W MAIN ST, Chehalis, WA 98532.

Quick Facts

NPI
1558089300
Type
Individual
Enumerated
Aug 18, 2022
Last Updated
Aug 18, 2022

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