Search › Michigan › 103TC0700X
Mira Jourdan, PHD
NPI 1902194806 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3361 36th St Se
Kentwood, MI 49512 - Phone
- (616) 942-2522
- Fax
- (616) 956-3260
- Clinicians at this address
- 129
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103G00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-25
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