JERRY WALLACE JORDAN

STOCKTON, CA
NPI1346414851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2008-04-15
Last Update Date2023-12-18
Business Address
JERRY WALLACE JORDAN
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8831
Mailing Address
JERRY WALLACE JORDAN
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8831
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