Individual
MS. BARBARA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5537
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5537
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12737
CA
Other
Enumeration date
11/05/2009
Last updated
08/12/2013
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