Individual
RAPHAEL SHERROD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4051 N 88TH ST, MILWAUKEE, WI 53222-1714
(414) 334-6058
Mailing address
4051 N 88TH ST, MILWAUKEE, WI 53222-1714
(414) 334-6058
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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