Individual
ALLYSA RAE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 MAIN ST, RED BLUFF, CA 96080-2759
(530) 527-8491
Mailing address
PO BOX 400, RED BLUFF, CA 96080-0400
(530) 527-8491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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