Individual
JOURDAN DERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 S POWER RD STE 252, MESA, AZ 85206-3700
(602) 675-6185
Mailing address
1234 S POWER RD STE 252, MESA, AZ 85206-3700
(602) 675-6185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
08/19/2024
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