Individual
MR. JORDON CASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1367 SANTA DIANA RD UNIT 4, CHULA VISTA, CA 91913-2741
(619) 379-4295
Mailing address
1367 SANTA DIANA RD UNIT 4, CHULA VISTA, CA 91913-2741
(619) 379-4295
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y7805401
CA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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