Individual
JORDAN L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1830 HART ST, VINCENNES, IN 47591-5505
(812) 882-1241
Mailing address
PO BOX 751, VINCENNES, IN 47591-0751
(812) 882-1241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003219A
IN
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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