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De Lisa Jordan, L.P.N

NPI 1881996122 · on the registry since 2010 · sole proprietor

Practice

Address
5441 Glenridge Dr
Toledo, OH 43614
Phone
(419) 810-1016

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
164W00000X
Licence states on file
OH, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-11-18

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 Ohio