Individual
JORDAN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 N TWIN OAKS VALLEY RD UNIT 103, SAN MARCOS, CA 92069-3413
(702) 561-9263
Mailing address
146 N TWIN OAKS VALLEY RD UNIT 103, SAN MARCOS, CA 92069-3413
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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