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Individual

JENNY MAE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4441 AUBURN BLVD STE E, SACRAMENTO, CA 95841-4139
(916) 473-5764
Mailing address
5313 AGATE WAY, CARMICHAEL, CA 95608-0608
(916) 834-5575

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
1982151767
CA

Other

Enumeration date
09/08/2016
Last updated
10/29/2025
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