Individual
MR. JORDAN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.T., TAI NA
Contact information
Practice address
1141 SMITH LANE STE #3, STE #3, ROSEVILLE, OH 95661-4123
(916) 783-3003
(916) 783-4799
Mailing address
1141 SMITH LANE STE #3, STE #3, ROSEVILLE, OH 95661-4123
(916) 783-3003
(916) 783-4799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71847798
CA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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