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Andrea Jordan
NPI 1811266638 · on the registry since 2011
Practice
- Address
- 1485 Stonebrook St
Azusa, CA 91702 - Phone
- (626) 818-4926
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California