Search › Massachusetts › 101YM0800X
Jordan Etienne
NPI 1972076784 · on the registry since 2019
Practice
- Address
- 139 Mount Pleasant St
New Bedford, MA 02740 - Phone
- (508) 287-2964
- Organisation at this address
- Diana & Deer Assistance Living And Agency
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2019-01-03
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 Massachusetts