JORDAN BLAKE WALLIS

HOUSTON, TX
NPI1922859206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-27
Last Update Date2024-03-27
Business Address
JORDAN BLAKE WALLIS
6431 FANNIN ST STE JJL 270
HOUSTON, TX 77030-1501
Phone number: 713-500-7882
Mailing Address
JORDAN BLAKE WALLIS
6431 FANNIN ST STE JJL 270
HOUSTON, TX 77030-1501
Phone number:
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