Individual
JORDAN T FRENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
11052 HICKMAN RD, CLIVE, IA 50325-3740
(515) 278-2517
(515) 331-1400
Mailing address
11052 HICKMAN RD, CLIVE, IA 50325-3740
(515) 278-2517
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
001085
IA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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