| NPI | 1841767712 |
|---|---|
| Other Name | JORDON ALEXANDER SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |