Individual
JORDAN FRANCIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-7131
(949) 642-2734
Mailing address
301 VICTORIA ST, COSTA MESA, CA 92627-7131
(949) 642-2734
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95153781
CA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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