Individual
JORDAN R WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
1ST MARINE SPECIAL OPERATIONS BTN., CAMP PENDLETON, CA 92055
(760) 725-5298
Mailing address
1ST MARINE SPECIAL OPERATIONS BATTALION, BOX 555341, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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