Individual
HILARY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, MA
Contact information
Practice address
144 HUGHES RD, GRASS VALLEY, CA 95945-5631
(530) 210-6592
Mailing address
144 HUGHES RD, GRASS VALLEY, CA 95945-5631
(530) 210-6592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
57023
CA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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