Individual
JORDAN CLAUDE-TAJIRI HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5454
(843) 522-5200
Mailing address
180 TREELINE TRL, HOLLY SPRINGS, GA 30115-0004
(678) 751-5527
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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