David Joseph Jordan, | |
1903 Bataan Rd Apt 12, Redondo Beach, CA 90278-1316 | |
(310) 606-1140 | |
Not Available |
Full Name | David Joseph Jordan |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 1903 Bataan Rd Apt 12, Redondo Beach, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871022657 | NPI | - | NPPES |
48198 | Other | CA | MASSAGE THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 48198 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Joseph Jordan, 1903 Bataan Rd Apt 12, Redondo Beach, CA 90278-1316 Ph: (310) 606-1140 | David Joseph Jordan, 1903 Bataan Rd Apt 12, Redondo Beach, CA 90278-1316 Ph: (310) 606-1140 |
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