SearchMichigan124Q00000X

Katie Jordan, RDH

NPI 1033686464 · on the registry since 2018

Practice

Address
18190 Rainbow Dr
Lathrup Village, MI 48076
Phone
(313) 505-6665
Fax
(248) 864-8648

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan