Jordan Riley Jack

NPI #1275284598 in Ames, Iowa

Provider Information

NPI Number
1275284598
Entity Type
Individual
Name
Jordan Riley Jack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jan 18, 2022
Last Updated
Jan 18, 2022

Practice Location

Address
223 FORKER BUILDING 534 WALLACE RD
City
Ames
State
Iowa
ZIP Code
50011-0001
Phone
(515) 783-8297

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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