JORDAN LEWIS JEFFERSON

KAHUKU, HI
NPI1285284232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
Mr. JORDAN LEWIS JEFFERSON AA
56-660 KAMEHAMEHA HWY
KAHUKU, HI 96731-2210
Phone number: 808-293-7555
Mailing Address
Mr. JORDAN LEWIS JEFFERSON AA
56-660 KAMEHAMEHA HWY
KAHUKU, HI 96731-2210
Phone number: 808-293-7555
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