Individual
DARRIAN DEANGELIS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 PINEHURST LN, WATERLOO, IA 50701-4530
(319) 429-3179
Mailing address
1705 PINEHURST LN, WATERLOO, IA 50701-4530
(319) 429-3179
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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