Individual
DR. DIANE MARIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1848 S ELENA AVE, SUITE D, REDONDO BEACH, CA 90277-5710
(310) 375-4039
(310) 375-5184
Mailing address
1848 S ELENA AVE, SUITE D, REDONDO BEACH, CA 90277-5710
(310) 375-4039
(310) 375-5184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC14413
CA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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