Individual
JORDAN HOLZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 DOW AVE STE 114, TUSTIN, CA 92780-7247
(714) 731-4668
Mailing address
3002 DOW AVE STE 114, TUSTIN, CA 92780-7247
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
99058366
CA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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