NPI 1245563162

Jenesia Arielle Dillow Ordonia

Practitioner Independent Duty Corpsman Gulfport, MS

Practice location

Address: 3158b Holloway Dr, Gulfport, MS 39501-9030
Phone: (847) 275-2696

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1245563162
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2009
Record last updated: 10 Sep 2009

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.