Individual
JORDAN RICHARD TANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1605 SE DELAWARE AVE STE D, ANKENY, IA 50021-4595
(515) 451-3337
Mailing address
1605 SE DELAWARE AVE STE D, ANKENY, IA 50021-4595
(515) 451-3337
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
077636
IA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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