JORDAN AMBROSE JEREMIAH

LOS ANGELES, CA
NPI1104502467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-22
Last Update Date2023-06-22
Business Address
JORDAN AMBROSE JEREMIAH
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023-2536
Phone number: 323-268-2100
Mailing Address
JORDAN AMBROSE JEREMIAH
14308 OHIO ST
BALDWIN PARK, CA 91706-2553
Phone number: 626-838-4805