Jordan Souksamlane
NPI #1043185853 in Walnut Creek, California
Provider Information
- NPI Number
- 1043185853
- Entity Type
- Individual
- Name
- Jordan Souksamlane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 9, 2025
- Last Updated
- Oct 9, 2025
Practice Location
- Address
- 313 LENNON LN STE 100
- Address 2
- SUITE 100
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94598-2460
- Phone
- (925) 278-6489
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