Individual
JORDAN FAITH JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 E FRY BLVD, SIERRA VISTA, AZ 85635-2990
(520) 515-2739
Mailing address
2299 OAKMONT DR UNIT 4208, SIERRA VISTA, AZ 85635-2557
(317) 446-1997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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