Individual
JORDAN KEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 ADDISON ST, BERKELEY, CA 94704-1141
(510) 714-0996
Mailing address
13939 E 14TH ST STE 190, SAN LEANDRO, CA 94578-2601
(510) 714-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
07/31/2024
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