Individual
MARILYN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 TAMARACK AVE APT 127, BREA, CA 92821-2535
(818) 429-3547
Mailing address
825 TAMARACK AVE APT 127, BREA, CA 92821-2535
(818) 429-3547
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-02358896
CA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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