| 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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