Larry J Jordan Iii, LPN | |
15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | |
(650) 283-1592 | |
Not Available |
Full Name | Larry J Jordan Iii |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 15675 Ambaum Blvd Sw, Burien, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558127928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | LP.61501117 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Larry J Jordan Iii, LPN 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 Ph: (650) 283-1592 | Larry J Jordan Iii, LPN 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 Ph: (650) 283-1592 |
Ms. Deborah Ann Bosch-gravel, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 15675 Ambaum Blvd Sw, Burien, WA 98166 Phone: 206-433-2413 | |
Kameron Wescott, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 15675 Ambaum Blvd Sw, Burien, WA 98166 Phone: 206-697-4422 |