Individual
DEANDRE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3690 N RANCHO DR, 3692 N. RANCHO DR., LAS VEGAS, NV 89130-3182
(702) 749-6263
Mailing address
4965 ATHENS BAY PL, N LAS VEGAS, NV 89031-0971
(702) 817-3094
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
01/18/2014
Last updated
01/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us