NPI | 1942824008 |
---|---|
Professional Name | JORDAN JOSHUA CLANTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NV 1604583078) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |