NPI 1205418456
Ruth Jordan
Practice location
- Address
- 577 Sternberg Ave, Fort Eustis, VA 23604-1526
- Phone
- (757) 314-7825
- Mailing address
- 1988 van Voorhis St Unit a, Fort Eustis, VA 23604-1409
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1205418456
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Apr 2021
- Record last updated
- 27 Apr 2021
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.