NPI | 1134708126 |
---|---|
Professional Name | JORDAN RAY FINCK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: SD Pending) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: SD 258) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-07-17 |