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Individual

JORDAN BRESLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 S 16TH ST STE 1700, PHILADELPHIA, PA 19102-2516
(215) 206-3562
Mailing address
200 W WASHINGTON SQ APT 2609, PHILADELPHIA, PA 19106-3536
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
174200000X
Meals Provider
225400000X
Rehabilitation Practitioner
225C00000X
Rehabilitation Counselor
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
10/25/2024
Last updated
10/25/2024
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