ERIC VAN JORDAN

CHARLESTON, WV
NPI1205570389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
ERIC VAN JORDAN
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-531-9556
Mailing Address
ERIC VAN JORDAN
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-531-9556