JORDAN ISIAH ANTHONY WILBORN

ORANGE, CA
NPI1942974050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  42594)
Enumeration Date2021-08-03
Last Update Date2024-07-23
Business Address
JORDAN ISIAH ANTHONY WILBORN
265 S ANITA DR STE 201
ORANGE, CA 92868-3346
Phone number: 714-410-3500
Mailing Address
JORDAN ISIAH ANTHONY WILBORN
2345 E COMMONWEALTH AVE APT 18
FULLERTON, CA 92831-4277
Phone number: 323-742-2700
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