Individual
JORDAN BOBOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Contact information
Practice address
1221 PROFIT DR, DALLAS, TX 75247-3919
(469) 404-1113
Mailing address
1221 PROFIT DR, DALLAS, TX 75247-3919
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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