JONATHAN JORDAN

LAS VEGAS, NM
NPI1003149840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-09-11
Last Update Date2009-09-11
Business Address
-- JONATHAN JORDAN
700 FRIEDMAN AVE
LAS VEGAS, NM 87701-4231
Phone number: 505-454-5100
Mailing Address
-- JONATHAN JORDAN
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number: 505-454-5100