JORDAN ALLEN

LAKELAND, FL
NPI1871959320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL3867)
Enumeration Date2016-01-13
Last Update Date2016-01-13
Business Address
Mr. JORDAN ALLEN MS,ATC,LAT
1111 FOREST PARK ST
LAKELAND, FL 33803-1832
Phone number: 863-688-2771
Mailing Address
Mr. JORDAN ALLEN MS,ATC,LAT
2935 WOODLAND HILLS AVE
LAKELAND, FL 33803-4141
Phone number: 863-287-4624