JORDAN SCOTT LARVA

SANTA CRUZ, CA
NPI1962134734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-06-29
Last Update Date2023-06-08
Business Address
JORDAN SCOTT LARVA
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Mailing Address
JORDAN SCOTT LARVA
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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