Jonathan Jordan
NPI #1003149840 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1003149840
- Entity Type
- Individual
- Name
- Jonathan Jordan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 11, 2009
- Last Updated
- Sep 11, 2009
Practice Location
- Address
- 700 FRIEDMAN AVE
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4231
- Phone
- (505) 454-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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