MICAH JORDAN

VIRGINIA BEACH, VA
NPI1548886559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-06-25
Last Update Date2024-10-30
Business Address
MICAH JORDAN
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462-1815
Phone number: 757-457-5100
Mailing Address
MICAH JORDAN
225 CLEARFIELD AVENUE
VIRGINIA BEACH, VA 23462
Phone number: 574-575-1007
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