Individual
JORDAN MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 CORONADO AVE, LONG BEACH, CA 90814-1590
(805) 314-8333
Mailing address
445 CORONADO AVE APT 5, LONG BEACH, CA 90814-7783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87210
CA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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