ANTHONY JEROME JORDAN

SAN BERNARDINO, CA
NPI1699508820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-08-22
Last Update Date2024-08-22
Business Address
ANTHONY JEROME JORDAN
604 W 4TH ST
SAN BERNARDINO, CA 92410-3216
Phone number: 909-701-7223
Mailing Address
ANTHONY JEROME JORDAN
604 W 4TH ST
SAN BERNARDINO, CA 92410-3216
Phone number: 909-701-7223
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