JORDAN DALE BLACK

SAN FRANCISCO, CA
NPI1881421493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  64942)
Enumeration Date2024-09-17
Last Update Date2024-11-20
Business Address
JORDAN DALE BLACK PA
505 PARNASSUS AVE # M917
SAN FRANCISCO, CA 94143-2204
Phone number: 415-353-1116
Mailing Address
JORDAN DALE BLACK PA
505 PARNASSUS AVE STE M917
SAN FRANCISCO, CA 94143-2204
Phone number: 415-353-1116