Jerry Wallace Jordan Jr.
Jerry Wallace Jordan Jr. is a Community Health Worker in Stockton, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-8831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1346414851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2008 |
| Last updated in NPPES | December 18, 2023 |
| Certification date | December 18, 2023 |
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Jesus Jacobo Jr.
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Eric Jimenez
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Leanna Jimenez
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Jezabelle Keopadubsy
306 E Main St Ste 307, Stockton, CA 95202-2908 · (209) 478-4554
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Viviana Laguna
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