ALFRED JORDAN

TUBA CITY, AZ
NPI1750671889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: AZ  CNA1000006672)
Enumeration Date2011-04-11
Last Update Date2011-04-11
Business Address
-- ALFRED JORDAN CNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- ALFRED JORDAN CNA
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501