Individual
KERRI-LEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8664 RED RD, ROCKWELL, NC 28138-8562
(980) 367-2600
Mailing address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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