Individual
JORDAN REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7959 CAMINO ALVARO, CARLSBAD, CA 92009-9204
(858) 354-2314
Mailing address
7959 CAMINO ALVARO, CARLSBAD, CA 92009-9204
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
WDL34Z37F1SB
WA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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