JERMAINE L JORDAN

SACRAMENTO, CA
NPI1427204254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-08-12
Last Update Date2008-08-12
Business Address
-- JERMAINE L JORDAN
5450 POWER INN RD STE B
SACRAMENTO, CA 95820-6749
Phone number: 916-361-2089
Mailing Address
-- JERMAINE L JORDAN
5450 POWER INN RD STE B
SACRAMENTO, CA 95820-6749
Phone number: 916-361-2089
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