Individual
JORDAN DAVID BARNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 SHERMAN HILL RD APT A12, WOODBURY, CT 06798-3664
(203) 263-2162
Mailing address
126 SHERMAN HILL RD APT A12, WOODBURY, CT 06798-3664
(203) 263-2162
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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