Individual
JORDAN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK RD SW, LILBURN, GA 30047-1866
(201) 539-5934
Mailing address
1081 OAK RD SW, LILBURN, GA 30047-1866
(201) 539-5934
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-639
GA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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