Individual
BERNADETTE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E MAIN ST, EL CAJON, CA 92020-3913
(619) 616-8572
Mailing address
333 E MAIN ST, EL CAJON, CA 92020-3913
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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