TARA MARIE JORDAN

CASTRO VALLEY, CA
NPI1366795395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22633)
Enumeration Date2012-10-15
Last Update Date2014-08-13
Business Address
Mrs. TARA MARIE JORDAN MMS, PA-C
20055 LAKE CHABOT RD SUITE 130
CASTRO VALLEY, CA 94546-5331
Phone number: 510-888-0657
Mailing Address
Mrs. TARA MARIE JORDAN MMS, PA-C
2125 SANTA CLARA AVE APT J
ALAMEDA, CA 94501-2812
Phone number: