Individual
TYLER QUINN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
PO BOX 517, SAN JUAN BAUTISTA, CA 95045-0517
(831) 673-9255
Mailing address
PO BOX 517, SAN JUAN BAUTISTA, CA 95045-0517
(831) 673-9255
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
E196203
CA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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