JORDAN ANDREW FAILLA

CHARLOTTE, NC
NPI1275237265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-27
Last Update Date2023-03-28
Business Address
JORDAN ANDREW FAILLA DO
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1242
Mailing Address
JORDAN ANDREW FAILLA DO
7105 BLU RAIL WAY UNIT B
PINEVILLE, NC 28134-6621
Phone number: 678-477-6502