| 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 |
|---|---|
| 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 |