Individual
DR. DANETTE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
8815 GERMANTOWN AVE, 5TH FLOOR FAMILY PRACTICE, PHILADELPHIA, PA 19118-2722
(215) 248-8145
(215) 248-8852
Mailing address
1241 E. DYER RD,, SUITE 145, SANTA ANA, CA 92705
(949) 449-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013-02418
NC
207Q00000X
Family Medicine Physician
53726
CT
207Q00000X
Family Medicine Physician
Primary
MD446787
PA
207Q00000X
Family Medicine Physician
MT195141
PA
Other
Enumeration date
10/02/2009
Last updated
05/23/2017
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