Individual
ALEXANDRA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
(951) 786-5350
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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