Individual
JORDAN LEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 LONETREE BLVD # 2009, ROCKLIN, CA 95765-5874
(925) 600-0193
Mailing address
1865 ALBURN PL, EL DORADO HILLS, CA 95762-5361
(530) 417-6035
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/08/2024
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