Individual
JORDAN JEROME HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 DICKINSON AVE, APT. 213, AMES, IA 50014-8171
(641) 202-2089
Mailing address
905 DICKINSON AVE, APT. 213, AMES, IA 50014-8171
(641) 202-2089
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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