Individual
JORDYN EVE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RAILWAY AVE, SEWARD, AK 99664
(907) 442-1011
Mailing address
351 N LAUREN LN, PALMER, AK 99645-8403
(907) 764-1486
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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