Individual
SALENA M JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 SHARON RD, LAS VEGAS, NV 89106-2038
(702) 415-0517
Mailing address
1230 SHARON RD, LAS VEGAS, NV 89106-2038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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