NPI 1023884525
Mary-Angela Jordan, DTR
Practice location
- Address
- 12112 W Tether Trl, Peoria, AZ 85383-5872
- Phone
- (480) 267-8767
Registered specialties
Registered Dietetic Technician
Primary
Registry record
- NPI
- 1023884525
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Nov 2023
- Record last updated
- 3 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.