JORDAN EZEANYIM

SANTA FE, NM
NPI1205350170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  RP00008752)
Enumeration Date2017-08-01
Last Update Date2017-08-01
Business Address
JORDAN EZEANYIM PharmD
1096 S SAINT FRANCIS DR
SANTA FE, NM 87505-1654
Phone number: 505-982-9811
Mailing Address
JORDAN EZEANYIM PharmD
2822 ARCE LN SE
RIO RANCHO, NM 87124-3290
Phone number: 505-310-0776
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