DARRIAN DEANGELIS JORDAN

WATERLOO, IA
NPI1205691433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2024-02-16
Last Update Date2024-02-16
Business Address
DARRIAN DEANGELIS JORDAN
1705 PINEHURST LN
WATERLOO, IA 50701-4530
Phone number: 319-429-3179
Mailing Address
DARRIAN DEANGELIS JORDAN
1705 PINEHURST LN
WATERLOO, IA 50701-4530
Phone number: 319-429-3179
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