Individual
DR. JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4545 FANUEL ST, SAN DIEGO, CA 92109-2904
(619) 508-6035
Mailing address
1585 HALO ST, SAN DIEGO, CA 92154-2718
(619) 508-6035
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1420
CA
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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