DEANDRE JORDAN

LAS VEGAS, NV
NPI1790107134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2014-01-18
Last Update Date2014-01-18
Business Address
-- DEANDRE JORDAN
3690 N RANCHO DR 3692 N. RANCHO DR.
LAS VEGAS, NV 89130-3182
Phone number: 702-749-6263
Mailing Address
-- DEANDRE JORDAN
4965 ATHENS BAY PL
N LAS VEGAS, NV 89031-0971
Phone number: 702-817-3094
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