Individual
JOSEPH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 KENT ST, LUBBOCK, TX 79403-2922
(806) 781-2997
Mailing address
2001 KENT ST, LUBBOCK, TX 79403-2922
(806) 781-2997
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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