JORDAN SAMUEL

COLTON, CA
NPI1366325649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-07-26
Last Update Date2025-07-26
Business Address
JORDAN SAMUEL
2291 LALIQUE CIR
COLTON, CA 92324-9242
Phone number: 901-734-3464
Mailing Address
JORDAN SAMUEL
2291 LALIQUE CIR
COLTON, CA 92324-9242
Phone number: 901-734-3464