Individual
JORDON L JEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 228-2778
Mailing address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
04/02/2026
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