MRS. Tara Marie Jordan, MMS, PA-C
NPI #1366795395 in Castro Valley, California
Provider Information
- NPI Number
- 1366795395
- Entity Type
- Individual
- Name
- MRS. Tara Marie Jordan, MMS, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- MMS, PA-C
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Aug 13, 2014
Practice Location
- Address
- 20055 LAKE CHABOT RD
- Address 2
- SUITE 130
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-5331
- Phone
- (510) 888-0657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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