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Individual

JORDAN MATTHEW LEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8680 W WARM SPRINGS RD STE 155, LAS VEGAS, NV 89148-1828
(702) 413-7307
Mailing address
2051 N TORREY PINES DR APT 2048, LAS VEGAS, NV 89108-6526
(618) 979-3011

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01939
NV

Other

Enumeration date
06/01/2022
Last updated
06/01/2022
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