Individual
MR. JORDAN DEAN GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, FF/EMT-B
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
146N00000X
Basic Emergency Medical Technician
—
VA
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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