Individual
JORDAN WILLIAM DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2960 SAINT ROSE PKWY STE 120, HENDERSON, NV 89052-5033
(702) 558-5100
Mailing address
10697 W CENTENNIAL PKWY APT 2130, LAS VEGAS, NV 89166-1513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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