DE ANDRE JORDAN

CULVER CITY, CA
NPI1902315203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2017-09-29
Last Update Date2022-07-21
Business Address
DE ANDRE JORDAN
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-237-0461
Mailing Address
DE ANDRE JORDAN
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-237-0461
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