Individual
CHRISTINE RENEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Mailing address
4527 W 64TH ST, LOS ANGELES, CA 90043-3521
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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