Individual
ROBIN R JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-3434
Mailing address
3420 COLCHESTER AVE, SACRAMENTO, CA 95834-2542
(916) 769-3042
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
24298
CA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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