Individual
JORDYN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MICHIGAN AVE NE, WASHINGTON, DC 20017-1027
(951) 818-7734
Mailing address
102 MICHIGAN AVE NE, WASHINGTON, DC 20017-1027
(951) 818-7734
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
000000
DC
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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