MR. Jordan Wan, M.T., TAI NA

NPI #1326695495 in Roseville, Ohio

Provider Information

NPI Number
1326695495
Entity Type
Individual
Name
MR. Jordan Wan, M.T., TAI NA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
M.T., TAI NA
Enumeration Date
Aug 22, 2019
Last Updated
Aug 22, 2019

Practice Location

Address
1141 SMITH LANE STE #3
Address 2
STE #3
State
Ohio
ZIP Code
95661-4123
Phone
(916) 783-3003

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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